Kwame Bawuah-Edusei, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

VA0101233498 Issued in VA

Practice address

4405 Hillside CT
Alexandria, VA 22306-1215

Phone

(301) 661-7103

NPI assigned

Jan 29, 2010

Last updated

Mar 18, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Northern Virginia Emergency Physicians, LLP

  • Nurse Practitioner
  • Arlington, VA
  • NPI 1225053390
  NPD (past)
• National Emergency Services District of Columbia Inc

  • Emergency Medicine Physician
  • Washington, DC
  • NPI 1588655963
  NPD (past)

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

{
    "created_epoch": "1264723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268870400000",
    "number": "1710218896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 HILLSIDE CT",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "23306",
            "telephone_number": "301-661-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 HILLSIDE CT",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223061215",
            "telephone_number": "301-661-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAWUAH-EDUSEI",
        "first_name": "KWAME",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-29",
        "last_updated": "2010-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "VA0101233498",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD21917",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christal Nicole Baugh, M.ED
• Marjorie B Bauman, LPC LMFT
• Jennifer Jasmine Bautista-Gogel, PA-C
• Edith Quiachon Bautista-Quint, MD
• Jasmine Sofia Bautista
• Alexia Baxter
• Bay Medical Care LLC
• Hannah Barnhill Bayne, PHD
• Be Present Performance
• Be Well Medical Group

• Internal Medicine Physician in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.