Active NPI
Owusu-Bekoe Opoku-Owusu, M.D.
- Infectious Disease Physician
- Green Bay, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 62417
- Practice address
- 2845 Greenbrier Rd
Green Bay, WI 54311-6519 - Phone
- (920) 288-8100
- NPI assigned
- Dec 19, 2006
- Last updated
- Oct 13, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 62417 | WI | Primary |
Addresses
Primary practice location
2845 Greenbrier Rd
Green Bay, WI 54311-6519
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Phone (920) 288-8100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100038836 | Medicaid | WI | |
| 64130081 | Medicaid | KY |
Other names 1
- Owusu-Bekoe Opoku-Owusu
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other | AGNESIAN HEALTHCARE INC |
| Direct Messaging Address | oopokuowusu116264@direct.myadvocateaurora.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2845 Greenbrier Rd
Green Bay, WI 54311-6519
Phone (920) 288-8000
855 N Westhaven Dr
Oshkosh, WI 54904-7668
Phone (920) 303-8700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62417 | WI | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| Baycare Aurora, LLC | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| The Medical College of Wisconsin, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Past | Accepting new patients |
Locations
430 E Division St
Fond du Lac, WI 54935
Phone (920) 926-4200
420 E Division St
Fond du Lac, WI 54935
Phone (920) 923-7400
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
2845 Greenbrier Rd
Green Bay, WI 54311
Phone (920) 288-3388
2253 W Mason St
Green Bay, WI 54303
Phone (920) 327-7000
2845 Greenbrier Rd
Ste 130
Green Bay, WI 54311
Phone (920) 288-4909
2845 Greenbrier Rd
Fl 1
Green Bay, WI 54311
Phone (920) 288-8100
3003 University Dr
Marinette, WI 54143
Phone (715) 732-8200
4061 Old Peshtigo Rd
Marinette, WI 54143
Phone (715) 732-8000
N74W12501 Leatherwood Ct
Menomonee Falls, WI 53051
Phone (414) 454-4744
W180N8000 Town Hall Rd
Menomonee Falls, WI 53051
Phone (262) 255-2500
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
855 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 451-5643
2219 Garfield St
Two Rivers, WI 54241
Phone (920) 793-2281
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
Interoperability endpoints
- oopokuowusu116264@direct.myadvocateaurora.org
- bopkoowusu591979@direct.froedtert.com
Organizations & group practices 7
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.
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
-
- General Acute Care Hospital
- Green Bay, WI
- NPI 1255387726
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
- Durable Medical Equipment & Medical Supplies
- Wauwatosa, WI
- NPI 1154947224
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
-
- Durable Medical Equipment & Medical Supplies
- Manitowoc, WI
- NPI 1801941075
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Two Rivers, WI
- NPI 1477508687
-
- General Acute Care Hospital
- Marinette, WI
- NPI 1043397177
-
dba Aurora Medical Center Bay Area Clinical Medical Laboratory
- Clinical Medical Laboratory
- Marinette, WI
- NPI 1083791115
Hospital
-
dba Aurora Medical Center Bay Area
- Land Ambulance
- Marinette, WI
- NPI 1427135557
Hospital
-
- General Acute Care Hospital
- Green Bay, WI
- NPI 1255387726
-
dba Door County Medical Center
- Critical Access Hospital
- Sturgeon Bay, WI
- NPI 1093743874
-
dba Door County Medical Center Lab
- Clinical Medical Laboratory
- Sturgeon Bay, WI
- NPI 1811090285
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697155200000",
"number": "1528121647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735044",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735044",
"telephone_number": "920-288-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2845 GREENBRIER RD",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543116519",
"telephone_number": "920-288-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OPOKU-OWUSU",
"first_name": "OWUSU-BEKOE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2023-10-13",
"certification_date": "2023-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "WI",
"license": "62417",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100038836",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64130081",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "AGNESIAN HEALTHCARE INC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "430 E Division St",
"city": "Fond Du Lac",
"state": "WI",
"country_code": "US",
"postal_code": "549354560",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "oopokuowusu116264@direct.myadvocateaurora.org",
"affiliation": "N",
"address_1": "2845 Greenbrier Rd",
"city": "Green Bay",
"state": "WI",
"country_code": "US",
"postal_code": "543116519",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "OWUSU-BEKOE",
"last_name": "OPOKU-OWUSU",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Green Bay, WI
- Oneida Nation (Ka Ni Kuhl Yo Family Center)
- Oneida Nation (Ka Ni Kuhli Yo Family Center)
- Oneida Nation (Ka Ni Kuhl Yo Family Center)
- Courtney Oneil, MS, LAT, ATC
- Abigail Opatik, DPT
- Matthew J Opolka, P.T.
- Optimum Plus Homecare LLC.
- Option 1 Transportation, Inc
- Options for Independent Living
- Optum Behavioral Care of Colorado, P.C. (Baeten Counseling of Wisconsin)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.