Individual provider Active NPI

Gawu Kamara Bankole, MD

  • Family Medicine Physician
  • Royersford, PA
National Provider Identifier
1679836183
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD456562 Issued in PA
Practice address
307 S Lewis Rd
Royersford, PA 19468-1828
Phone
(610) 792-0300
NPI assigned
Jun 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT202628 PA
Family Medicine Physician 207Q00000X MD456562 PA Primary

Addresses

Primary practice location

307 S Lewis Rd
Royersford, PA 19468-1828

Mailing address

1601 Medical Dr
Pottstown, PA 19464-3241
Phone (610) 327-4200

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160801001756 PA Practitioner - Family Practice 6204072549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1566 Medical Dr
Suite 104
Pottstown, PA 19464-3229
Phone (484) 945-0075

307 S Lewis Rd
Spring Ford Family Practice
Royersford, PA 19468-1828
Phone (610) 792-0300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD456562PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pottstown Medical Specialists, Inc CurrentSince Nov 10, 2022 Accepting new patients
Pottstown Medical Specialists Inc Family Medicine Past Accepting new patients

Locations

1601 Medical Dr
Pottstown, PA 19464
Phone (610) 327-4200

Interoperability endpoints

  • Direct secure messaging: gawukamarabankole@pmsi.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1679836183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MEDICAL DR",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643241",
            "telephone_number": "610-327-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S LEWIS RD",
            "city": "ROYERSFORD",
            "state": "PA",
            "postal_code": "194681828",
            "telephone_number": "610-792-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMARA BANKOLE",
        "first_name": "GAWU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT202628",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD456562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royersford, PA

Sources for this page

Verify at the official NPI Registry.