Kyeiwaa Amofa-Boachie, MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

MD477888 Issued in PA

Practice address

351 W Beau St Ste 200
Washington, PA 15301-4663

Phone

(724) 228-7400

NPI assigned

Mar 25, 2019

Last updated

May 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kyeiwaa.amofaboachie.p12@direct.cornerstonecare.nextgenshare.com
• Direct secure messaging: kyeiwaa.amofaboachie@upmcdirect.com

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.

• Cornerstone Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Greensboro, PA
  • NPI 1376512582
  Medicare reassignment NPD
• Cornerstone Care Inc

  • Federally Qualified Health Center (FQHC)
  • Washington, PA
  • NPI 1306474598
  NPD
• Cornerstone Care Inc.

  dba Cornerstone Care Community Health Center of Clairton

  • Federally Qualified Health Center (FQHC)
  • Clairton, PA
  • NPI 1063970671
  NPD (past)
• Cornerstone Care Inc.

  dba Cornerstone Care Community Health Center of Mount Morris-Medical

  • Federally Qualified Health Center (FQHC)
  • Mount Morris, PA
  • NPI 1194029819
  NPD (past)
• Cornerstone Care, Inc

  dba Cornerstone Care Community Health Center of Uniontown-Medical

  • Federally Qualified Health Center (FQHC)
  • Uniontown, PA
  • NPI 1144526419
  NPD (past)
• Cornerstone Care, Inc.

  dba Cornerstone Care Community Health Center of Rogersville

  • Federally Qualified Health Center (FQHC)
  • Rogersville, PA
  • NPI 1083644744
  NPD (past)
• Cornerstone Care, Inc.

  dba Central Greene Pediatrics

  • Federally Qualified Health Center (FQHC)
  • Waynesburg, PA
  • NPI 1659569036
  NPD (past)

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1619438561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 W BEAU ST STE 200",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153014663",
            "telephone_number": "724-228-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 W BEAU ST STE 200",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153014663",
            "telephone_number": "724-228-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMOFA-BOACHIE",
        "first_name": "KYEIWAA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2024-05-08",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "PA",
            "license": "MD477888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kyeiwaa.amofaboachie@upmcdirect.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elizabeth Courtney Ambrose, MT-BC
• Ambulance and Chair EMS, Inc
• Amedisys Pennsylvania, L.L.C. (Amedisys Home Health of Canonsburg)
• Ami, Inc of Washington-Greene Counties
• Neesha Shah Amin, M.D.
• William E Amos III, DMD
• Mohammad Aref Anbari, DDS
• Blayne Nicole Anderson, PA-C
• Jaime L Anderson, PA-C
• Marsha L Anderson

• Pediatric Adolescent Medicine Physician in Washington, PA
• Providers in Washington, PA by specialty
• Pediatric Adolescent Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.