Individual provider Active NPI

Nana Adoma Owusu-Nyamekye, MD

  • Internal Medicine Physician
  • Woodbridge, VA
National Provider Identifier
1558654368
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101255668 Issued in VA
Practice address
4500 Pond Way
Ste 170
Woodbridge, VA 22192-5581
Phone
(571) 542-4950
Fax
(571) 285-1160
NPI assigned
May 26, 2011
Last updated
Jul 29, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101255668 VA Primary

Addresses

Primary practice location

4500 Pond Way
Ste 170
Woodbridge, VA 22192-5581

Mailing address

4500 Pond Way
Ste 170
Woodbridge, VA 22192-5581
Phone (571) 542-4950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140922000839 VA Practitioner - Internal MedicinePractitioner - Family Practice 8628219029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Massachusetts Medical School, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

4500 Pond Way
Suite 170
Woodbridge, VA 22192-5596
Phone (571) 542-4950

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101255668VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group Internal Medicine CurrentSince Aug 4, 2014 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

4500 Pond Way
Ste 170
Woodbridge, VA 22192
Phone (571) 542-4950

Interoperability endpoints

  • Direct secure messaging: nowusunyamekye141550@direct.sentara.net

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406592000000",
    "number": "1558654368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 POND WAY",
            "address_2": "STE 170",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925581",
            "telephone_number": "571-542-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 POND WAY",
            "address_2": "STE 170",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925581",
            "telephone_number": "571-542-4950",
            "fax_number": "571-285-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWUSU-NYAMEKYE",
        "first_name": "NANA ADOMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-26",
        "last_updated": "2014-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101255668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.