Individual provider Active NPI

Godson Asamoa, MD

  • Pediatrics Physician
  • Upper Darby, PA
National Provider Identifier
1710922901
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD072030L Issued in PA
Practice address
7408 W Chester Pike
Upper Darby, PA 19082-2006
Phone
(610) 931-1502
Fax
(610) 931-1502
NPI assigned
Jun 19, 2006
Last updated
Aug 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD072030L PA Primary
Pediatrics Physician 208000000X D0101241 MD

Addresses

Primary practice location

7408 W Chester Pike
Upper Darby, PA 19082-2006

Mailing address

7408 W Chester Pike
Upper Darby, PA 19082-2006
Phone (610) 931-1502

Other identifiers 1

IdentifierTypeStateIssuer
1020560440001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071228000291 PA Practitioner - HospitalistPractitioner - Pediatric Medicine 8527032051 Reassigns benefits to 4 organizations
I20240909000384 MD Practitioner - Pediatric Medicine 8527032051 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD072030LPAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Grove Clinic Company LLC CurrentSince Sep 7, 2014 Accepting new patients
Upmc Altoona CurrentSince Jul 29, 2019 Accepting new patients
Meritus Medical Center Inc CurrentSince Aug 23, 2024 Accepting new patients
Meritus Medical Center Inc Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Apr 3, 2023 Accepting new patients
Pinnacle Health Medical Services CurrentSince Apr 3, 2023 Accepting new patients
Tower Health Medical Group CurrentSince Nov 10, 2016 Accepting new patients
Upmc Altoona CurrentSince Jul 29, 2019 Accepting new patients
Meritus Medical Center Inc CurrentSince Aug 23, 2024 Accepting new patients
Tower Health Medical Group Current Accepting new patients
West Grove Clinic Company LLC CurrentSince Sep 7, 2014 Accepting new patients
Tower Health Medical Group CurrentSince Nov 10, 2016 Accepting new patients
Pinnacle Health Medical Services Pediatrics Current Accepting new patients
Onsite Neonatal PA Past Accepting new patients
New Horizon Primary Care, LLC PastSince Mar 1, 2011 Accepting new patients
Meritus Medical Center Inc Past Accepting new patients

Locations

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

1011 W Baltimore Pike
Ste 307
West Grove, PA 19390
Phone (610) 869-1240

1015 W Baltimore Pike
West Grove, PA 19390
Phone (610) 869-1000

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

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

Organizations & group practices 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1710922901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7408 W CHESTER PIKE",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822006",
            "telephone_number": "610-931-1502",
            "fax_number": "610-931-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7408 W CHESTER PIKE",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822006",
            "telephone_number": "610-931-1502",
            "fax_number": "610-931-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASAMOA",
        "first_name": "GODSON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD072030L",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0101241",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020560440001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Darby, PA

Sources for this page

Verify at the official NPI Registry.