Individual provider Active NPI

Kofi Bonney Quaye, M.D.

  • Vascular Surgery Physician
  • Houston, TX
National Provider Identifier
1528416443
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
U4908 Issued in TX
Practice address
6670 Bertner Ave
R2-216
Houston, TX 77030-2602
Phone
(713) 790-3311
NPI assigned
Jun 1, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 44250 OK
Vascular Surgery Physician 2086S0129X U4908 TX Primary

Addresses

Primary practice location

6670 Bertner Ave
R2-216
Houston, TX 77030-2602

Mailing address

6670 Bertner Ave
R2-216
Houston, TX 77030-2602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230718001676 TX Practitioner - Vascular SurgeryPractitioner - General Surgery 3274934930 Reassigns benefits to 2 organizations
I20241216001580 OK Practitioner - Vascular Surgery 3274934930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiothoracic and Vascular Surgeons,PAGroup PAC ID 3870577729, 34 clinicians
St Davids Heart and Vascular PLLCGroup PAC ID 7012821879, 197 clinicians

Practice addresses (Care Compare)

1010 W 40TH St
Austin, TX 78756-4010
Phone (512) 459-8753

12221 N Mopac Expressway
North Austin Med Ctr
Austin, TX 78758-2401
Phone (512) 901-4001

12221 N Mopac Expy
Austin, TX 78758-2401
Phone (512) 901-4001

1900 Scenic Dr
Georgetown, TX 78626-7876

3201 S Austin Ave
Suite 255
Georgetown, TX 78626-7644
Phone (512) 501-4287

3801 N Lamar Blvd
Austin, TX 78756-4080

901 W Ben White Blvd
Austin, TX 78704-6903
Phone (512) 447-2211

919 E 32ND St
Austin, TX 78705-2703
Phone (512) 476-7111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.06 of 100Reported as group
Quality
67.35
Promoting interoperability
97
Improvement activities
40
Cost
72.02

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal17
Leg revascularization (restoring blood flow)13
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44250OKMDVascular Surgery Physician
U4908TXMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Davids Heart & Vascular, PLLC CurrentSince Feb 1, 2026 Accepting new patients
St. John Physicians, Inc. Current Accepting new patients
Cardiothoracic and Vascular Surgeons,PA CurrentSince Aug 15, 2023 Accepting new patients
St. John Physicians, Inc CurrentSince Dec 30, 2024 Accepting new patients

Locations

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

1010 W 40th St
Austin, TX 78756
Phone 5124598753102

3801 N Lamar Blvd
#300
Austin, TX 78756
Phone (512) 206-3600

1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000

3201 S Austin Ave
Ste 255
Georgetown, TX 78626
Phone (512) 501-4287

1900 Scenic Dr
Ste 3308
Georgetown, TX 78626
Phone (512) 244-2263

930 Kohlers Xing
Ste 650
Kyle, TX 78640
Phone (512) 651-8420

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/856/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kofi.quaye.1@856.direct.athenahealth.com

Organizations & group practices 4

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

Hospital & facility affiliations 4

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": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1528416443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6670 BERTNER AVE",
            "address_2": "R2-216",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6670 BERTNER AVE",
            "address_2": "R2-216",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302602",
            "telephone_number": "713-790-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAYE",
        "first_name": "KOFI",
        "middle_name": "BONNEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-01",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OK",
            "license": "44250",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "U4908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.