NPIMap

Individual provider Active NPI

Yaw Boafo Fordjour, DO

  • Hospitalist Physician
  • Sugar Land, TX
National Provider Identifier
1710411798
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
U0586 Issued in TX
Practice address
17500 W Grand Pkwy S
Sugar Land, TX 77479-2562
Phone
(281) 725-5026
NPI assigned
Apr 17, 2017
Last updated
Feb 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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 OS019774 PA
Hospitalist Physician 208M00000X U0586 TX Primary

Addresses

Primary practice location

17500 W Grand Pkwy S
Sugar Land, TX 77479-2562

Mailing address

2214 Orleans Street
Baltimore, MD 21231
Phone (860) 515-6451

Other practice location 1

4300 Londonderry Rd
Harrisburg, PA 17109-5317
Phone (717) 231-8772

Other practice location 2

one mellon way
latrobe, PA 15650
Phone (724) 537-1207

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address yfordjour176340@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200611001711 PA Practitioner - Internal Medicine 1153691928 Reassigns benefits to 6 organizations
I20230420002008 TX Practitioner - HospitalistPractitioner - Family Practice 1153691928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Edward Via Col of Osteo Medicine-Virginia Campus, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pottstown Clinic Company LLCGroup PAC ID 6406857184, 112 clinicians
Pinnacle Health Hospitalist Services LLCGroup PAC ID 9739313545, 180 clinicians
Fayette Physician Network IncGroup PAC ID 3375865819, 309 clinicians

Practice addresses (Care Compare)

1600 E High St
Pottstown, PA 19464-5093
Phone (610) 327-7000

4300 Londonderry Rd
Harrisburg, PA 17109-5317
Phone (717) 657-7332

500 W Berkely St Annex
Uniontown Specialty Care
Uniontown, PA 15401-5514
Phone (724) 430-5600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS019774PAMDFamily Medicine Physician
U0586TXMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Medical Group Family Medicine CurrentSince Mar 13, 2023 Accepting new patients
Pinnacle Health Hospitalist Services LLC Family Medicine CurrentSince Aug 1, 2020 Accepting new patients
Excela Health Physician Practices, Inc. Family Medicine CurrentSince Oct 1, 2020 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Oct 1, 2020 Accepting new patients
Fayette Physician Network Inc Family Medicine CurrentSince Sep 6, 2023 Accepting new patients
Tower Health Medical Group CurrentSince May 8, 2023 Accepting new patients
Tower Health Medical Group Family Medicine Current Accepting new patients
Pottstown Clinic Company LLC Family Medicine CurrentSince Feb 1, 2023 Accepting new patients
Phoenixville Clinic Company LLC CurrentSince May 8, 2023 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
Tower Health Medical Group CurrentSince May 8, 2023 Accepting new patients
Phoenixville Clinic Company LLC Family Medicine CurrentSince May 8, 2023 Accepting new patients
Fayette Physician Network Inc Family Medicine CurrentSince Sep 6, 2023 Accepting new patients
Pottstown Hospital, LLC Past Accepting new patients
Uniontown Hospital Past Accepting new patients

Locations

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

1 Mellon Way
Latrobe, PA 15650
Phone (724) 537-1207

4300 Londonderry Rd
Lower Paxton, PA 17109
Phone (717) 597-7044

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

1600 E High St
Pottstown, PA 19464
Phone (610) 327-7485

730 S Hanover St
Pottstown, PA 19465
Phone (610) 323-6835

201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940

500 W Berkeley St
Uniontown, PA 15401
Phone (724) 430-5000

420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800

1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

3203 Broadway St
Pearland, TX 77581
Phone (281) 485-8876

17500 W Grand Pkwy S
Sugar Land, TX 77479
Phone (281) 725-5000

Interoperability endpoints

  • Direct secure messaging: yfordjour287520@upmc.direct-ci.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1710411798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 ORLEANS STREET",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21231",
            "telephone_number": "860-515-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17500 W GRAND PKWY S",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792562",
            "telephone_number": "281-725-5026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 Londonderry Rd",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171095317",
            "country_code": "US",
            "telephone_number": "717-231-8772",
            "fax_number": "717-231-8435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "one mellon way",
            "address_purpose": "LOCATION",
            "city": "latrobe",
            "state": "PA",
            "postal_code": "15650",
            "country_code": "US",
            "telephone_number": "724-537-1207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORDJOUR",
        "first_name": "YAW",
        "middle_name": "BOAFO",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-17",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS019774",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "U0586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yfordjour176340@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "4300 Londonderry Rd",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171095317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.