Individual provider Active NPI

Dzifa Sena Kpodzo, M.D,,MPH

  • Plastic Surgery Physician
  • Atlanta, GA
National Provider Identifier
1841358629
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
67785 Issued in GA
Practice address
1800 Howell Mill Rd NW
Atlanta, GA 30318-2538
Phone
(404) 756-1400
Fax
(404) 756-5274
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 67785 GA Primary

Addresses

Primary practice location

1800 Howell Mill Rd NW
Atlanta, GA 30318-2538

Mailing address

720 Westview Drive SW
Morehouse School of Medicine
Atlanta, GA 30310-1495
Phone (404) 616-1428

Other practice location 1

303 Parkway Dr NE
Atlanta, GA 30312-1212
Phone (404) 756-1400

Other practice location 2

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone (404) 756-1400 ext. 5752

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dkpodzo36813@direct.gmh.edu Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NY2 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
I20131015001559 GA Practitioner - Plastic and Reconstructive Surgery 4183882608 Reassigns benefits to 1 organization
I20220427001299 NY Practitioner - Plastic and Reconstructive Surgery 4183882608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Harvard Medical School, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians

Practice addresses (Care Compare)

47 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-5633

Hospital & facility affiliations

  • Albany Medical Center Hospital Hospital, Albany, NY, CCN 330013

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
77.53
Promoting interoperability
100
Improvement activities
40
Cost
76.35

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
67785GAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College Current Accepting new patients
Albany Medical College CurrentSince Jun 1, 2022 Accepting new patients
Albany Medical College Plastic Surgery CurrentSince Jun 1, 2022 Accepting new patients
Albany Medical College CurrentSince Jun 1, 2022 Accepting new patients
Morehouse Healthcare, Inc. CurrentSince Sep 1, 2013 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical Center Hospital Past Accepting new patients

Locations

303 Parkway Dr NE
Atlanta, GA 30312
Phone (404) 265-4000

1800 Howell Mill Rd NW
Ste 550
Atlanta, GA 30318
Phone (404) 756-1290

1800 Howell Mill Rd NW
Atlanta, GA 30318
Phone (404) 350-9853

75 Piedmont Ave NE
Ste 700
Atlanta, GA 30303
Phone (404) 756-1410

720 Westview Dr SW
Atlanta, GA 30310
Phone (404) 756-1383

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

1595 Cleveland Ave
East Point, GA 30344
Phone (404) 305-8086

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

50 New Scotland Ave
Fl 1MC190
Albany, NY 12208

47 New Scotland Ave
#61
Albany, NY 12208
Phone (518) 262-5791

Interoperability endpoints

  • Direct secure messaging: dkpodzo19340@albanymed.direct-ci.com
  • Direct secure messaging: dkpodzo36813@direct.gmh.edu

Organizations & group practices 8

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 5

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1841358629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 WESTVIEW DRIVE SW",
            "address_2": "MOREHOUSE SCHOOL OF MEDICINE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101495",
            "telephone_number": "404-616-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HOWELL MILL RD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182538",
            "telephone_number": "404-756-1400",
            "fax_number": "404-756-5274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 Parkway Dr NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303121212",
            "country_code": "US",
            "telephone_number": "404-756-1400",
            "fax_number": "404-756-5274",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 Jesse Hill Jr Dr SE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303033031",
            "country_code": "US",
            "telephone_number": "404-756-1400 x5752",
            "fax_number": "404-756-5274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KPODZO",
        "first_name": "DZIFA",
        "middle_name": "SENA",
        "name_prefix": "Ms.",
        "credential": "M.D,,MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "67785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dkpodzo36813@direct.gmh.edu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "dkpodzo36813@direct.gmh.edu",
            "address_1": "80 Jesse Hill Jr Dr SE",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303033031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.