Individual provider Active NPI

Iradat Abiodun Amusa, MD , MPH

  • Internal Medicine Physician
  • Bridgeport, CT
National Provider Identifier
1871946004
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
321076 Issued in LA
Practice address
2800 Main St
Bridgeport, CT 06606-4201
Phone
(203) 545-4500
NPI assigned
Jul 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 321076 LA Primary

Addresses

Primary practice location

2800 Main St
Bridgeport, CT 06606-4201

Mailing address

2900 Main St
Bridgeport, CT 06606-4236
Phone (817) 371-6971

Other practice location 1

1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone (337) 289-7991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20191218002482 LA Practitioner - Internal Medicine 9234563602 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coolidge Physician Services LLCGroup PAC ID 7113156035, 52 clinicians
Calcasieu Cameron Hospital Medicine Group LLCGroup PAC ID 1557688421, 66 clinicians

Practice addresses (Care Compare)

1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone (337) 289-7991

211 4TH St
Alexandria, LA 71301-8421
Phone (484) 965-9566

701 Cypress St
Sulphur, LA 70663-5053
Phone (337) 527-7034

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.22 of 100Reported as individual
Quality
79.43
Improvement activities
0
Cost
75.12

Merit-based Incentive Payment System (MIPS)

Final score
86.29 of 100Reported as group
Quality
72.11
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Calcasieu Cameron Hospital Medicine Group LLC CurrentSince Mar 2, 2025 Accepting new patients
Main Street Physician Services LLC CurrentSince Oct 8, 2023 Accepting new patients
Coolidge Physician Services LLC CurrentSince Nov 3, 2019 Accepting new patients
Lafayette General Medical Center Inc Past Accepting new patients
Rapides Healthcare System, L.L.C. Past Accepting new patients

Locations

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

2315 E Main St
Fl 3
New Iberia, LA 70560
Phone (337) 369-1100

701 Cypress St
Sulphur, LA 70663
Phone (337) 527-4270

Interoperability endpoints

  • Direct secure messaging: iamusa1443652@direct.ochsner.org

Organizations & group practices 5

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": "1469232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1871946004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064236",
            "telephone_number": "817-371-6971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064201",
            "telephone_number": "203-545-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1214 Coolidge Blvd",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705032621",
            "country_code": "US",
            "telephone_number": "337-289-7991",
            "fax_number": "337-289-7711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMUSA",
        "first_name": "IRADAT",
        "middle_name": "ABIODUN",
        "name_prefix": "Dr.",
        "credential": "MD , MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-23",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "321076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.