Individual provider Active NPI

Danielle Renee Kwakye-Berko, MD

  • Internal Medicine Physician
  • Henderson, NC
National Provider Identifier
1821060583
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9700627 Issued in NC
Practice address
511 Ruin Creek Rd Ste 101
Henderson, NC 27536-5919
Phone
(252) 436-0440
Fax
(252) 436-0281
NPI assigned
Feb 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 201315 NY
Internal Medicine Physician 207R00000X 9700627 NC Primary

Addresses

Primary practice location

511 Ruin Creek Rd Ste 101
Henderson, NC 27536-5919

Mailing address

511 Ruin Creek Rd Ste 101
Henderson, NC 27536-5919
Phone (252) 436-0440

Other practice location 1

2666 W State St
Olean, NY 14760-1825
Phone (716) 701-1700

Other identifiers 1

IdentifierTypeStateIssuer
02102192MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20230913001402 NC Practitioner - Internal Medicine 8729035340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
State University of Ny Upstate Medical University, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DLP Maria Parham Physician Practices LLCGroup PAC ID 7719153683, 54 clinicians

Practice addresses (Care Compare)

120 Charles Rollins Rd
Henderson, NC 27536-2882

511 Ruin Creek Rd
Henderson, NC 27536-5919

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Durham, NC, CCN 347110
  • Maria Parham Medical Center Hospital, Henderson, NC, CCN 340132

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9700627NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Maria Parham Physician Practices, LLC Current Accepting new patients
DLP Maria Parham Physician Practices LLC CurrentSince Oct 2, 2023 Accepting new patients
DLP Maria Parham Physician Practices, LLC CurrentSince Oct 2, 2023 Accepting new patients
Ipc Hospitalist Services of New York, P.C. Internal Medicine Past Accepting new patients
Arnot Medical Services PLLC Internal Medicine PastSince Apr 1, 2012 Accepting new patients
DLP Maria Parham Physician Practices, LLC Past Accepting new patients
Southern Tier Community Health Center Network, Inc. Past Accepting new patients

Locations

120 Charles Rollins Rd
Ste 105
Henderson, NC 27536
Phone (252) 438-2773

511 Ruin Creek Rd
Ste 101
Henderson, NC 27536
Phone (252) 436-0440

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: danielle.kwakye-berko.1@20247.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1821060583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 RUIN CREEK RD STE 101",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275365919",
            "telephone_number": "252-436-0440",
            "fax_number": "252-436-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 RUIN CREEK RD STE 101",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275365919",
            "telephone_number": "252-436-0440",
            "fax_number": "252-436-0281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2666 W State St",
            "address_purpose": "LOCATION",
            "city": "Olean",
            "state": "NY",
            "postal_code": "147601825",
            "country_code": "US",
            "telephone_number": "716-701-1700",
            "fax_number": "716-701-1710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KWAKYE-BERKO",
        "first_name": "DANIELLE",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "201315",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9700627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02102192",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NC

Sources for this page

Verify at the official NPI Registry.