Mariam Fofana, MD, PHD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

271675 Issued in MA

Practice address

333 Cedar St
New Haven, CT 06510-3206

Phone

(203) 785-7059

NPI assigned

Jan 9, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Emergency Medicine

Education

Johns Hopkins University School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Emory Clinic IncGroup PAC ID 8820901408, 3,507 clinicians

Emory Medical Care Foundation IncGroup PAC ID 4981501814, 1,003 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grady Memorial Hospital Hospital, Atlanta, GA, CCN 110079

Merit-based Incentive Payment System (MIPS)

Final score

93.24 of 100Reported as group

Quality

73.72

Promoting interoperability

100

Improvement activities

40

Cost

75.22

Merit-based Incentive Payment System (MIPS)

Final score

87.36 of 100Reported as group

Quality

77.36

Promoting interoperability

100

Improvement activities

40

Cost

74.27

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mfofana957012@direct.emory.org

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.

• Emory Medical Care Foundation Inc

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1063452381

  Emergency Medicine, GA

  Medicare reassignment Care Compare group NPD
• The Emory Clinic Inc

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1396798229

  GA

  Medicare reassignment Care Compare group NPD
• Emory Specialty Associates, LLC

  • Anesthesiology Physician
  • Lagrange, GA
  • NPI 1407864168

  Emergency Medicine, GA

  Medicare reassignment NPD
• The Emory Clinic Inc

  • Ambulatory Surgical Clinic/Center
  • Lagrange, GA
  • NPI 1285912600
  Care Compare group
• The Emory Clinic Inc

  • Ambulatory Surgical Clinic/Center
  • Atlanta, GA
  • NPI 1295748531
  Care Compare group
• The Emory Clinic Inc

  • Ambulatory Surgical Clinic/Center
  • Decatur, GA
  • NPI 1306472063
  Care Compare group
• The Emory Clinic Inc

  • Ambulatory Surgical Clinic/Center
  • Atlanta, GA
  • NPI 1346403854
  Care Compare group
• The Emory Clinic Inc

  • Ambulatory Surgical Clinic/Center
  • Jonesboro, GA
  • NPI 1386165504
  Care Compare group
• The Emory Clinic Inc

  • Ambulatory Surgical Clinic/Center
  • Atlanta, GA
  • NPI 1811765902
  Care Compare group
• The Emory Clinic Inc.

  • Ambulatory Surgical Clinic/Center
  • Atlanta, GA
  • NPI 1023359627
  Care Compare group
• The Emory Clinic Inc.

  • Ambulatory Surgical Clinic/Center
  • Tucker, GA
  • NPI 1952098667
  Care Compare group
• Yale University

  • Anesthesiology Physician
  • New Haven, CT
  • NPI 1205822236

  Emergency Medicine

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Grady Memorial Hospital Corporation

  • General Acute Care Hospital
  • Atlanta, GA
  • NPI 1992799050

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1649540535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 CEDAR ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 CEDAR ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103206",
            "telephone_number": "203-785-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOFANA",
        "first_name": "MARIAM",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-09",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "271675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Flynn, APRN
• Robert Flynn Jr., MFT
• Stuart D Flynn, MD
• Afsha Aurshina Fnu, MD
• Doris W Foell, APRN
• Robert Fogerty
• Rebecca Foglia, AGAC-NP/APRN
• CHI Chung Victor Fok, PH.D
• Brian Foley
• Finbar T Foley, M.D., MPH

• All providers in New Haven, CT
• Emergency Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.

Verify at the official NPI Registry.