Active NPI
Eugene Kofi Essandoh, M.D.
- Nephrology Physician
- Owings Mills, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 34303
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- State University of Ny Upstate Medical University, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 89.08
- Promoting interoperability
- 0
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 56.34 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 34303 | AL | MD | Internal Medicine Physician |
| MD34303 | AL | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Access Care of Towson, LLC | Vascular & Interventional Radiology | Current | Accepting new patients |
| American Access Care of Towson, LLC | Vascular & Interventional Radiology | Current | Accepting new patients |
| American Access Care of Baltimore LLC | Vascular & Interventional Radiology | Current | Accepting new patients |
| Fresenius Vascular Care Montgomery ASC LLC | Past | 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
- eugene.essandoh@direct.baptistfirst.org
- eugene.essandoh.p42@direct.aac.nextgenshare.com
- eugene.essandoh.p45@direct.aac.nextgenshare.com
- eugene.essandoh.1@13659.direct.athenahealth.com
- 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.
-
- Vascular & Interventional Radiology Physician
- Baltimore, MD
- NPI 1366416034
-
- Vascular & Interventional Radiology Physician
- Owings Mills, MD
- NPI 1558698134
-
- Vascular & Interventional Radiology Physician
- Owings Mills, MD
- NPI 1992530703
-
- Ambulatory Surgical Clinic/Center
- Montgomery, AL
- NPI 1891295275
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.
- 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.