Individual provider Active NPI

Doreen Akosua Mensah, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1437201472
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
219161 Issued in NY
Practice address
318 Knickerbocker Ave
Brooklyn, NY 11237-3888
Phone
(718) 765-6056
Fax
(347) 803-1874
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 219161 NY Primary

Addresses

Primary practice location

318 Knickerbocker Ave
Brooklyn, NY 11237-3888

Mailing address

PO Box 746087
Atlanta, GA 30374-6087
Phone (312) 733-9730

Other practice location 1

411 West 113TH STREET
new york, NY 10025-1703
Phone (212) 866-5461

Other practice location 2

1114 Liberty Ave
Brooklyn, NY 11208-2922
Phone (718) 765-6058

Other identifiers 15

IdentifierTypeStateIssuer
02109644MedicaidNY
201100957OtherNYMULTIPLAN
201100957OtherNYHORIZON
P2706080OtherNYOXFORD
201100957OtherNYPHCS
3C5378OtherNYPPO HMO
2591439OtherNYGHI PPO
5850736OtherNYAETNA USHC PPO
7086441014OtherNYCIGNA HMO
219ABOtherNYEMPIRE BLUE CROSS PPO EPO
219161-B26OtherNYHEALTHFIRST
13-4106083OtherNY1199
2120367OtherNYUNITED HEALTHCARE CHOICE
219161OtherNYHIP
279668AOtherNYMAGNACARE PPO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040729001576 NY Practitioner - Internal Medicine 4981674561 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
219161NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William F Ryan Community Health Center Inc CurrentSince Nov 17, 2018 Accepting new patients
Griffin Myers Medical, P.C. Internal Medicine CurrentSince May 12, 2025 Accepting new patients
William F Ryan Community Health Center Inc CurrentSince Nov 17, 2018 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Renaissance Heights LLC Internal Medicine Past Accepting new patients
Park Avenue Medical Associates, P.C. PastSince Dec 4, 1999 Accepting new patients
St Lukes Roosevelt Community Care Internal Medicine Past Accepting new patients
Dominick K. Bioh MD PC Internal Medicine Past Accepting new patients

Locations

455 Sutter Ave
Brooklyn, NY 11212
Phone (718) 765-6550

1114 Liberty Ave
Brooklyn, NY 11208
Phone (718) 765-6058

11515 Sutphin Blvd
Jamaica, NY 11434
Phone (718) 659-4000

110 W 97th St
New York, NY 10025
Phone (212) 316-7906

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

17 E 102nd St
New York, NY 10029
Phone (212) 241-7968

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1437201472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746087",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746087",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 KNICKERBOCKER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112373888",
            "telephone_number": "718-765-6056",
            "fax_number": "347-803-1874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 West 113TH STREET",
            "address_purpose": "LOCATION",
            "city": "new york",
            "state": "NY",
            "postal_code": "100251703",
            "country_code": "US",
            "telephone_number": "212-866-5461",
            "fax_number": "212-866-7706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1114 Liberty Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112082922",
            "country_code": "US",
            "telephone_number": "718-765-6058",
            "fax_number": "347-808-4895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENSAH",
        "first_name": "DOREEN",
        "middle_name": "AKOSUA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "219161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02109644",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "201100957",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON",
            "identifier": "201100957",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2706080",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "201100957",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPO HMO",
            "identifier": "3C5378",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO",
            "identifier": "2591439",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA USHC PPO",
            "identifier": "5850736",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HMO",
            "identifier": "7086441014",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS PPO EPO",
            "identifier": "219AB",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHFIRST",
            "identifier": "219161-B26",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1199",
            "identifier": "13-4106083",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE CHOICE",
            "identifier": "2120367",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "219161",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGNACARE PPO",
            "identifier": "279668A",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.