Andrea Okiemute Akpoguma, M.D.
Individual provider Active NPI Hospitalist Physician · Green Bay, WI
NPI 1508091117 · NPPES record last updated Nov 18, 2021
Key facts
- NPI
- 1508091117
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 63826 (WI)
- Practice address
- 2845 Greenbrier Rd
Green Bay, WI 54311 - Phone
- (920) 288-8000
- Fax
- (920) 288-3073
- NPI assigned
- May 27, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baycare Aurora LLC
Practice addresses (Care Compare)
2845 Greenbrier Rd
Green Bay, WI 54311-6519
Phone (920) 288-8000
Hospital & facility affiliations
- Aurora at Home
- Aurora Baycare Medical Ctr
- Aurora Medical Ctr Manitowoc County
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- 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 |
|---|---|---|---|---|
| I20150803000238 | WI | Practitioner - Internal Medicine | 3971743592 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63826 | WI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Medical Group, Inc. | Current |
Accepting new patients | |
| Baycare Aurora, LLC | Hospitalist | Current |
Accepting new patients |
| Aurora Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Aurora Medical Group, Inc. | Current |
Accepting new patients |
Locations
2253 W Mason St
Green Bay, WI 54303
Phone (920) 327-7000
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
2845 Greenbrier Rd
Green Bay, WI 54311
Phone (920) 288-3388
2300 Western Ave
Manitowoc, WI 54220
Phone (920) 320-2011
3003 University Dr
Marinette, WI 54143
Phone (715) 735-4200
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
Interoperability endpoints
- aakpoguma235875@direct.myadvocateaurora.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 63826 | WI | |
| Hospitalist Physician | 208M00000X | 63826 | WI | Yes |
Addresses
Primary practice location
2845 Greenbrier Rd
Green Bay, WI 54311
Mailing address
2845 Greenbrier Rd
Green Bay, WI 54311-6519
Phone (920) 288-8000
Other practice location 1
744 S Webster Ave
Green Bay, WI 54301-3505
Phone (920) 445-7226
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100046265 | Medicaid | WI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aakpoguma235875@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Other providers in Green Bay, WI
- Cindy Aiken
- Michael Robert Marling Aikins
- Rachel Ajack
- Yousaf Ajam
- Zaheer Akhtar
- Kirsten Onome Akpoguma
- Manar K Al Shahrouri
- Ali Adil Al-Humadi
- Fatema Al-Wahshi
- Alan W Resch Enterprises SC
All providers in Green Bay, WI · Hospitalist Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2021. 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.