Individual provider Active NPI

Samuel Agyakwah Osei-Bonsu, M.D.

  • Vascular & Interventional Radiology Physician
  • Brooklyn, NY
National Provider Identifier
1457617045
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
8046 Issued in GA
Practice address
450 Clarkson Ave
Dept of Radiology MSC 1198
Brooklyn, NY 11203-2012
Phone
(718) 270-1603
NPI assigned
Apr 9, 2012
Last updated
Aug 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Diagnostic Radiology Physician 2085R0202X 80846 GA
Vascular & Interventional Radiology Physician 2085R0204X 8046 GA Primary

Addresses

Primary practice location

450 Clarkson Ave
Dept of Radiology MSC 1198
Brooklyn, NY 11203-2012

Mailing address

450 Clarkson Ave
Dept of Radiology MSC 1198
Brooklyn, NY 11203-2012
Phone (718) 270-1603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20180719001334 GA Practitioner - Diagnostic Radiology 1153696893 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Wisconsin, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside Radiology Associates LLCGroup PAC ID 4486555398, 381 clinicians

Practice addresses (Care Compare)

7461 Blackmon Rd
Apt 4710
Columbus, GA 31909-8410
Phone (404) 851-6577

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.75 of 100Reported as group
Quality
96.18
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8046GAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Radiology Associates LLC Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
Columbus Memory Center, PC CurrentSince Jul 1, 2024 Accepting new patients
Coastal Radiology Associates, PLLC Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
Columbus Diagnostic Center Inc Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients
Columbus Diagnostic Center Inc Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients
Georgia Radiology Imaging Consultants, LLC Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients

Locations

209 N Cuthbert St
Colquitt, GA 39837
Phone (229) 758-3385

2040 10th Ave
Columbus, GA 31901
Phone (706) 322-3000

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

710 Center St
Ste B
Columbus, GA 31901

7196 North Lake Dr
Ste A
Columbus, GA 31909
Phone (706) 327-4000

7500 Veterans Pkwy
Ste B
Columbus, GA 31909
Phone (706) 323-7622

4 Medical Dr
Elberton, GA 30635
Phone (706) 213-2527

1050 Valdosta Hwy
Homerville, GA 31634
Phone (912) 383-6575

7823 Spivey Station Blvd
Ste 110
Jonesboro, GA 30236
Phone (678) 364-4444

1420 Vernon Rd
Lagrange, GA 30240
Phone (706) 880-7411

1514 Vernon Rd
Lagrange, GA 30240
Phone (706) 812-2369

2200 Vernon St
Lagrange, GA 30240

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

163 Hospital Dr
Toccoa, GA 30577
Phone (706) 282-4200

120 Gordon St
Washington, GA 30673
Phone (706) 678-1177

Organizations & group practices 6

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1457617045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE",
            "address_2": "DEPT OF RADIOLOGY MSC 1198",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032012",
            "telephone_number": "718-270-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE",
            "address_2": "DEPT OF RADIOLOGY MSC 1198",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032012",
            "telephone_number": "718-270-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSEI-BONSU",
        "first_name": "SAMUEL",
        "middle_name": "AGYAKWAH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-09",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "80846",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "GA",
            "license": "8046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.