Awah L Ditah, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2020044322 Issued in MI

Practice address

237 Radio Dr Ste 210
Woodbury, MN 55125-4478

Phone

(612) 871-1145

Fax

(612) 870-5491

NPI assigned

Jan 27, 2021

Last updated

Mar 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI, MN, WI3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mngi Digestive Health PAGroup PAC ID 8123016557, 276 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• M Health Fairview Woodwinds Hospital Hospital, Woodbury, MN, CCN 240213
• Hudson Hospital Hospital, Hudson, WI, CCN 521335
• River Falls Area Hospital Hospital, River Falls, WI, CCN 521349

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: awah.ditahnp.d1.p1@direct.mngastro.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Mngi Digestive Health, P.a.

  • Gastroenterology Physician
  • Minneapolis, MN
  • NPI 1609804541

  WI

  Medicare reassignment Care Compare group NPD
• A Ahmad MD PLC

  dba Primedical Care PLC

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1306313515
  Medicare reassignment NPD
• Laz Medical Group PC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Southfield, MI
  • NPI 1053310128
  Medicare reassignment NPD
• Downriver Specialists, P.C.

  • Internal Medicine Physician
  • Brownstown TWP, MI
  • NPI 1023044542
  Medicare reassignment

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

• Healtheast Woodwinds Hospital

  dba Fairview Woodwinds Hospital

  • General Acute Care Hospital
  • Woodbury, MN
  • NPI 1356309322
  Care Compare affiliation
• Allina Health System

  dba Orthopedics by Twin Cities Orthopedics

  • Orthopaedic Surgery Physician
  • River Falls, WI
  • NPI 1184244519

  Hospital

  Care Compare affiliation
• Allina Health System

  dba River Falls Area Hospital

  • Critical Access Hospital
  • River Falls, WI
  • NPI 1285691725
  Care Compare affiliation
• Allina Health System

  dba Allina Health Cancer Institute - River Falls

  • Hematology & Oncology Physician
  • River Falls, WI
  • NPI 1568999712

  Hospital

  Care Compare affiliation
• Allina Health System

  dba River Falls Professional Services

  • Emergency Medicine Physician
  • River Falls, WI
  • NPI 1578507513

  Hospital

  Care Compare affiliation
• Hudson Hospital, Inc.

  dba Hudson Hospital & Clinics

  • Critical Access Hospital
  • Hudson, WI
  • NPI 1396849303
  Care Compare affiliation

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1851982557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14909",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554140909",
            "telephone_number": "612-871-1145",
            "fax_number": "612-870-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 RADIO DR STE 210",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254478",
            "telephone_number": "612-871-1145",
            "fax_number": "612-870-5491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITAH",
        "first_name": "AWAH",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "2020044322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Braden Diebold
• Beth Ann Dierkhising, RD
• Myonna Lynn Dillon Bradley
• Saam Dilmaghani, MD
• Jollyne Stuart Dilunga
• Manaswini Saisree Dixit
• Adaila Lee Dixon, PSYD, LP
• John R Dixon, D.C.
• Luke Dlouhy
• DMS Psych PLLC (Dina Stewart PMHNP)

• Family Nurse Practitioner in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.