Nana Mensah-Nyante, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

T9747 Issued in TX

Practice address

75 State St
Boston, MA 02109-1827

Phone

(617) 204-3500

NPI assigned

Jan 13, 2015

Last updated

Jan 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: nmensahnyante18298@direct.medisys.org

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1568851681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20016 HOLLIS AVE",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114121712",
            "telephone_number": "718-736-8204",
            "fax_number": "718-736-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 STATE ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021091827",
            "telephone_number": "617-204-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENSAH-NYANTE",
        "first_name": "NANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-13",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "281632",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "T9747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04251709",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reshma Menon
• Sanjay Menon, MD
• Susanne Menon, WHNP
• Sharon Sima Menora
• Phinehas Mensah Fordjour
• Akosua N Mensah, LICSW
• Emmanuel Mensah, MD
• Terrance Selasi Mensah, MD, MPHIL
• Mental Health & Drug Addiction Administration
• Elizabeth Rose Menten, MD

• Family Medicine Physician in Boston, MA
• Providers in Boston, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.