Individual provider Active NPI

Eugene Kofi Essandoh, M.D.

  • Nephrology Physician
  • Owings Mills, MD
National Provider Identifier
1659544138
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
34303 Issued in AL
Practice address
25 Crossroads Dr Ste 110
Owings Mills, MD 21117-5444
Phone
(410) 363-2192
Fax
(410) 363-2860
NPI assigned
Apr 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34303 AL
Vascular & Interventional Radiology Physician 2085R0204X MD34303 AL
Nephrology Physician 207RN0300X 34303 AL Primary

Addresses

Primary practice location

25 Crossroads Dr Ste 110
Owings Mills, MD 21117-5444

Mailing address

PO Box 415816
Boston, MA 02241-5816
Phone (610) 644-8900

Other practice location 1

8140 Corporate Dr Ste 125
Baltimore, MD 21236-6901
Phone (410) 931-9729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20230926001123 MD Practitioner - NephrologyPractitioner - Internal Medicine 6507034774 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
State University of Ny Upstate Medical University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Access Care of Baltimore LLCGroup PAC ID 0042281719, 3 clinicians

Practice addresses (Care Compare)

25 Crossroads Dr
Suite 110
Owings Mills, MD 21117-5444
Phone (410) 363-2192

8140 Corporate Dr
Suite 125
Baltimore, MD 21236-6901
Phone (410) 931-9729

Merit-based Incentive Payment System (MIPS)

Final score
73.99 of 100Reported as group
Quality
89.08
Promoting interoperability
0
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
56.34 of 100Reported as group
Quality
56.98
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34303ALMDInternal Medicine Physician
MD34303ALMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Access Care of Towson, LLC Vascular & Interventional Radiology CurrentSince Sep 8, 2024 Accepting new patients
American Access Care of Towson, LLC Vascular & Interventional Radiology CurrentSince Oct 1, 2023 Accepting new patients
American Access Care of Baltimore LLC Vascular & Interventional Radiology CurrentSince Oct 1, 2023 Accepting new patients
Fresenius Vascular Care Montgomery ASC LLC PastSince Apr 23, 2023 Accepting new patients

Locations

8140 Corporate Dr
Ste 125
Nottingham, MD 21236
Phone (410) 321-9729

25 Crossroads Dr
Ste 110
Owings Mills, MD 21117
Phone (410) 363-2192

25 Crossroads Dr
Ste 404
Owings Mills, MD 21117
Phone (410) 363-3897

Interoperability endpoints

  • Direct secure messaging: eugene.essandoh@direct.baptistfirst.org
  • Direct secure messaging: eugene.essandoh.p42@direct.aac.nextgenshare.com
  • Direct secure messaging: eugene.essandoh.p45@direct.aac.nextgenshare.com
  • Direct secure messaging: eugene.essandoh.1@13659.direct.athenahealth.com
  • Direct secure messaging: eugene.essandoh.p106@direct.aac.nextgenshare.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.

NPI Registry JSON

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1659544138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415816",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415816",
            "telephone_number": "610-644-8900",
            "fax_number": "484-924-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CROSSROADS DR STE 110",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175444",
            "telephone_number": "410-363-2192",
            "fax_number": "410-363-2860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8140 Corporate Dr Ste 125",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212366901",
            "country_code": "US",
            "telephone_number": "410-931-9729",
            "fax_number": "410-931-2133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESSANDOH",
        "first_name": "EUGENE",
        "middle_name": "KOFI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-07",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "34303",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "AL",
            "license": "MD34303",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AL",
            "license": "34303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.