Individual provider Active NPI

Nana-Ama Ankumah Bentum, M.D.

  • Maternal & Fetal Medicine Physician
  • Stafford, TX
National Provider Identifier
1447578364
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
31309 Issued in AL
Practice address
12603 Southwest Fwy Ste 315
Stafford, TX 77477-3852
Phone
(346) 245-5186
NPI assigned
May 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 31309 AL Primary

Addresses

Primary practice location

12603 Southwest Fwy Ste 315
Stafford, TX 77477-3852

Mailing address

12603 Southwest Fwy Ste 315
Stafford, TX 77477-3852

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141030001008 TX Practitioner - Obstetrics/Gynecology 5890931745 Reassigns benefits to 2 organizations
I20210607002121 AL Practitioner - Obstetrics/Gynecology 5890931745

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Wisconsin School of Medicine, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Obstetrix Medical Group of Texas Billing, Inc.Group PAC ID 2365342938, 24 clinicians

Practice addresses (Care Compare)

12603 Southwest Fwy
Suite 315
Stafford, TX 77477-3852
Phone (281) 941-2237

1325 Pennsylvania Ave
Suite 600
Ft Worth, TX 76104-2133
Phone (682) 267-8694

7600 Fannin St
Houston, TX 77054-1906
Phone 80024338397746

9180 Pinecroft Dr
Suite 300
Shenandoah, TX 77380-2794
Phone (281) 419-4600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31309ALMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Aug 16, 2014 Accepting new patients
Ut Physicians CurrentSince Aug 16, 2014 Accepting new patients
Obstetrix Medical Group of Texas Billing, Inc. Maternal & Fetal Medicine CurrentSince Jan 8, 2024 Accepting new patients
Pediatrix Medical Group of Texas Billing, Inc. Past Accepting new patients
Magella Medical Associates Billing, Inc. Maternal & Fetal Medicine Past Accepting new patients

Locations (25 of 26)

6700 West Loop S
Ste 450
Bellaire, TX 77401
Phone (713) 486-9300

508 Medical Center Blvd
Ste 320
Conroe, TX 77304
Phone (936) 523-5790

24500 Northwest Fwy
Cypress, TX 77429
Phone (346) 238-5867

24510 Northwest Fwy
Ste 650
Cypress, TX 77429
Phone (346) 616-2777

1325 Pennsylvania Ave
Ste 600
Ft Worth, TX 76104
Phone (817) 878-5298

1901 N State Highway 360
Ste 102
Grand Prairie, TX 75050
Phone (972) 647-0994

18500 Katy Fwy
Houston, TX 77094
Phone (281) 206-9020

7400 Fannin St
Ste 720
Houston, TX 77054
Phone (281) 601-4066

7600 Fannin St
Houston, TX 77054
Phone (713) 791-7115

921 Gessner Rd
Houston, TX 77024
Phone (713) 242-3439

2100 Travis St
Ste 1250
Houston, TX 77002
Phone (346) 348-1980

1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

6431 Fannin St
#3262
Houston, TX 77030

5757 Woodway Dr
Ste 275
Houston, TX 77057
Phone (713) 791-9100

1601 St Joseph Pkwy
Houston, TX 77003
Phone (713) 441-1026

23530 Kingsland Blvd
Ste 204
Katy, TX 77494
Phone (281) 419-4600

23900 Katy Fwy
Katy, TX 77494
Phone (281) 644-7000

215 Kingwood Executive Dr
Ste 120
Kingwood, TX 77339
Phone (713) 796-1600

10223 Broadway St
Ste E
Pearland, TX 77584
Phone (713) 340-2848

10905 Memorial Hermann Dr
Pearland, TX 77584
Phone (713) 486-6000

16100 South Fwy
Pearland, TX 77584
Phone (713) 413-5000

9180 Pinecroft Dr
Ste 300
Shenandoah, TX 77380
Phone (281) 419-4600

12603 Southwest Fwy
Ste 315
Stafford, TX 77477
Phone (346) 245-5186

16655 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 274-7117

Interoperability endpoints

  • Direct secure messaging: nanaama.bentummd.d1.p32@direct.mednax.nextgenshare.com
  • Direct secure messaging: nbentum13715@direct.uth.org

Organizations & group practices 5

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": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1447578364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12603 SOUTHWEST FWY STE 315",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12603 SOUTHWEST FWY STE 315",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773852",
            "telephone_number": "346-245-5186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTUM",
        "first_name": "NANA-AMA",
        "middle_name": "ANKUMAH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-17",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "AL",
            "license": "31309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

Verify at the official NPI Registry.