Kusi Fordjour, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

L0177 Issued in TX

Practice address

2505 Bolton Boone Dr
Ste 101
Desoto, TX 75115-2096

Phone

(972) 283-9100

Fax

(972) 283-9104

NPI assigned

Jun 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

University of Wisconsin School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Charlton Medical Center Hospital, Dallas, TX, CCN 450723

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kusi Fordjour M.D PA

  • Internal Medicine Physician
  • Desoto, TX
  • NPI 1811101348
  Medicare reassignment NPD Authorized official
• Emcare-Dtxemergency Physicians PLLC

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1285709600
  NPD (past)
• Texas Em-1 Medical Services, PA

  • Physician Assistant
  • Texarkana, TX
  • NPI 1558314062
  NPD (past)
• Texas Em-I Medical Services PA

  • Emergency Medicine Physician
  • Angleton, TX
  • NPI 1437334414
  NPD (past)
• Texas Em-I Medical Services, PA

  • Internal Medicine Physician
  • Greenville, TX
  • NPI 1699981720
  NPD (past)
• Texas Emergency Room Services, P.a.

  • Emergency Medicine Physician
  • Granbury, TX
  • NPI 1598710493
  NPD (past)

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

• Methodist Hospitals of Dallas

  dba Methodist Charlton Medical Center

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1275592131
  Care Compare affiliation

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1780623074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93597",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760920115",
            "telephone_number": "972-283-9100",
            "fax_number": "972-283-9104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 BOLTON BOONE DR",
            "address_2": "STE 101",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152096",
            "telephone_number": "972-283-9100",
            "fax_number": "972-283-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORDJOUR",
        "first_name": "KUSI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L0177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "L0177",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0098MT",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaiesha L. Flucas, M.S., LPC-S, NCC
• Gloria A Fobbs, LMSW
• Focus Medical Housecall PLLC
• Cesar Paulin Foding Fotso
• Nakia Ford
• Forensic 360 Laboratory
• Forensic 360 Laboratory Diagnostic (Forensic 360 Lab)
• Forever Bee Health-E Concierge, LLC
• Forever Caring Hands, LLC
• Brittney Fortenberry

• Internal Medicine Physician in Desoto, TX
• Providers in Desoto, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; 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.

Verify at the official NPI Registry.