Individual provider Active NPI

Kwame Adu-Gyamfi, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Houston, TX
National Provider Identifier
1689755985
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA 03713 Issued in TX
Practice address
8518 Jensen Drive
Houston, TX 77093
Phone
(713) 691-2112
Fax
(713) 691-1771
NPI assigned
Oct 17, 2006
Last updated
May 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA 03713 TX Primary

Addresses

Primary practice location

8518 Jensen Drive
Houston, TX 77093

Mailing address

25149 Ramrock Dr
Porter, TX 77365-6365
Phone (281) 354-7074

Other identifiers 8

IdentifierTypeStateIssuer
184797201MedicaidTX
45D1068419OtherCLIA ID NUMBER
184797202MedicaidTX
184798001MedicaidTX
8Y3148OtherTXBCBS
PA 03713OtherTXTEXAS MEDICAL BOARD OF PH
1055703OtherTXNCCPA
1356490882OtherTXNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070228000726 TX Practitioner - Physician Assistant 9335241942 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors Express of the Beaumont Area PAGroup PAC ID 5698816882, 211 clinicians

Practice addresses (Care Compare)

3195 Dowlen Rd
Suite 105
Beaumont, TX 77706-7272
Phone (409) 860-1888

8212 Jensen Dr
Houston, TX 77093-8219
Phone (713) 691-2112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 03713TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Adu-Gyamfi Ventures Inc Medical Current Accepting new patients
Amoo & Gyamfi Ventures Inc Current Accepting new patients

Locations

8212 Jensen Dr
Houston, TX 77093
Phone (713) 691-2112

8518 Jensen Dr
Houston, TX 77093
Phone (713) 691-2112

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDEFCA/Endpoint/CDEFCA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1689755985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25149 RAMROCK DR",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773656365",
            "telephone_number": "281-354-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8518 JENSEN DRIVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77093",
            "telephone_number": "713-691-2112",
            "fax_number": "713-691-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADU-GYAMFI",
        "first_name": "KWAME",
        "name_prefix": "Mr.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA 03713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184797201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID NUMBER",
            "identifier": "45D1068419",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184797202",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184798001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8Y3148",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD OF PH",
            "identifier": "PA 03713",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1055703",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1356490882",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.