Akua Adwubi Panyin Amoo
Individual provider Active NPI Hospitalist Physician · New Haven, CT
NPI 1467700179 · NPPES record last updated Jun 26, 2015
Key facts
- NPI
- 1467700179
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 54188 (CT)
- Practice address
- 20 York Street, CB-2041
New Haven, CT 06510-3220 - Phone
- (203) 688-4748
- Fax
- (203) 688-4740
- NPI assigned
- Aug 28, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 24
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Duke University Health System, Inc
Practice addresses (Care Compare)
3400 Wake Forest Rd
Raleigh, NC 27609-7317
Phone (919) 954-3965
Hospital & facility affiliations
- Duke University Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181002002375 | NC | Practitioner - Internal Medicine | 1153636758 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54188 | CT | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke University Health System, Inc. | Internal Medicine | Current | Accepting new patients |
| Duke University Health System, Inc. | Internal Medicine | Current |
Accepting new patients |
| Duke University Health System, Inc. | Internal Medicine | Current | Accepting new patients |
| Duke University Health System, Inc. | Current |
Accepting new patients |
Locations
5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700
3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186
3400 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 954-3000
Interoperability endpoints
- aamoo410390@direct.medicine.duke.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 54188 | CT | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
20 York Street, CB-2041
New Haven, CT 06510-3220
Mailing address
20 York Street, CB-2041
New Haven, CT 06510-3220
Phone (203) 688-4748
Other providers in New Haven, CT
- Jessica Oduruwaa Amoako
- John Paul Amodeo
- Sharon Amole
- Vicky Amon-Perpetua
- Kent Amoo-Achampong
- Francis Kofi Amoo
- Jessica Morgan Amoona
- Razie Amraei
- Unknown Amreek
- Marcos Amuchastegui
All providers in New Haven, CT · Hospitalist Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.