Active NPI
Hans Mawuli Kwaku, M.D.
- Internal Medicine Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 200300167
- Practice address
- 5815 Blakeney Park Dr Ste 200B
Charlotte, NC 28277-5734 - Phone
- (704) 316-5080
- Fax
- (704) 316-5085
- NPI assigned
- Apr 26, 2006
- Last updated
- Aug 21, 2024
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 200300167 | NC | |
| Adolescent Medicine (Family Medicine) Physician | 207QA0000X | 200300167 | NC | |
| Adult Medicine Physician | 207QA0505X | 200300167 | NC | |
| Internal Medicine Physician | 207R00000X | 200300167 | NC | Primary |
| Adolescent Medicine (Internal Medicine) Physician | 207RA0000X | 200300167 | NC |
Addresses
Primary practice location
5815 Blakeney Park Dr Ste 200B
Charlotte, NC 28277-5734
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other practice location 1
3627 Beatties Ford Rd
Charlotte, NC 28216-3249
Phone (704) 335-0806
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89135CY | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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
- Internal Medicine
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10810 Mallard Creek Rd
Charlotte, NC 28262-9786
Phone (704) 510-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200300167 | NC | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bomray Medical Clinic | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Sports and Spine Physical Therapy NC Inc | Past | Accepting new patients |
Locations
10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000
3627 Beatties Ford Rd
Charlotte, NC 28216
Phone (704) 335-0806
5815 Blakeney Park Dr
Ste 200B
Charlotte, NC 28277
Phone (704) 316-5080
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Interoperability endpoints
- hkwaku1587829@direct.novanthealth.org
Organizations & group practices 5
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.
-
dba Novant Health Pediatric Neurology & Sleep
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
dba PrimeCare Medical Center
- Primary Care Clinic/Center
- Charlotte, NC
- NPI 1013974864
-
dba Novant Health Blakeney Family Physicians
- Family Medicine Physician
- Charlotte, NC
- NPI 1043340557
-
dba Novant Health Elizabeth OB/GYN
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
dba Sportspine
- Physical Therapy Clinic/Center
- Charlotte, NC
- NPI 1982651618
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Presbyterian ESRD Unit
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1396798591
Hospital
-
dba Presbyterian Behavioral Health Unit
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1497708838
-
dba Novant Health Presbyterian Medical Center
- General Acute Care Hospital
- Charlotte, NC
- NPI 1881647204
-
dba Novant Health Presbyterian Medical Center - Skilled Nursing Unit
- Skilled Nursing Facility
- Charlotte, NC
- NPI 1891871901
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724198400000",
"number": "1689630691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5815 BLAKENEY PARK DR STE 200B",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282775734",
"telephone_number": "704-316-5080",
"fax_number": "704-316-5085"
}
],
"practiceLocations": [
{
"address_1": "3627 Beatties Ford Rd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282163249",
"country_code": "US",
"telephone_number": "704-335-0806",
"fax_number": "704-334-2073",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KWAKU",
"first_name": "HANS",
"middle_name": "MAWULI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "200300167",
"primary": false
},
{
"code": "207QA0000X",
"taxonomy_group": "",
"desc": "Family Medicine, Adolescent Medicine",
"state": "NC",
"license": "200300167",
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "NC",
"license": "200300167",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "200300167",
"primary": true
},
{
"code": "207RA0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Adolescent Medicine",
"state": "NC",
"license": "200300167",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89135CY",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.