Organization Active NPI

Nana Yaw Asamoah-Mensah, M.D.,P.C.

  • Neurology Physician
  • Washington, DC
National Provider Identifier
1457666000
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD035224 Issued in DC
Legal business name
NANA YAW ASAMOAH-MENSAH, M.D.,P.C.
Practice address
1140 Varnum St NE
Suite 205
Washington, DC 20017-2153
Phone
(202) 269-0499
Fax
(202) 269-0855
NPI assigned
Aug 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Authorized official

Name
Nana Yaw Asamoah-Mensah, M.D.NPI 1023103587
Title
Owner/President
Phone
(703) 587-5048

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X MD035224 DC Primary

Addresses

Primary practice location

1140 Varnum St NE
Suite 205
Washington, DC 20017-2153

Mailing address

12601 Bridoon LN
Reston, VA 20191-5828
Phone (703) 587-5048

Other identifiers 1

IdentifierTypeStateIssuer
042383500MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101117001046 DC Part B Supplier - Clinic/Group Practice 2062607948 Receives reassigned benefits from 1 practitioner
Practice locations: Washington, DC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1457666000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12601 BRIDOON LN",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201915828",
            "telephone_number": "703-587-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 VARNUM ST NE",
            "address_2": "SUITE 205",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172153",
            "telephone_number": "202-269-0499",
            "fax_number": "202-269-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANA YAW ASAMOAH-MENSAH, M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-06",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "ASAMOAH-MENSAH",
        "authorized_official_first_name": "NANA",
        "authorized_official_middle_name": "YAW",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "703-587-5048",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "DC",
            "license": "MD035224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042383500",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.