Organization Active NPI

Ashanti Medical Associates LLC

  • Gastroenterology Physician
  • Hartford, CT
National Provider Identifier
1881713337
Registry record updated Dec 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
26698 Issued in CT
Legal business name
ASHANTI MEDICAL ASSOCIATES LLC
Practice address
675 Tower Ave
Suite 402
Hartford, CT 06112-1260
Phone
(860) 714-2992
Fax
(860) 714-8990
NPI assigned
Mar 28, 2007
Last updated
Dec 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2008

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

Authorized official

Name
Dr. Kofi Atta-Mensah, M.D.NPI 1871519264
Title
Owner
Phone
(860) 714-2992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 26698 CT
Gastroenterology Physician 207RG0100X 26698 CT Primary

Addresses

Primary practice location

675 Tower Ave
Suite 402
Hartford, CT 06112-1260

Mailing address

675 Tower Ave
Suite 402
Hartford, CT 06112-1260
Phone (860) 714-2992

Other identifiers 12

IdentifierTypeStateIssuer
001266980MedicaidCT
0577990OtherCTCIGNA HEALTHCARE
DN7801OtherCTRAILROAD MEDICARE PART B
010026698CT04OtherCTBCBS
2V9515OtherCTHEALTHNET
566029OtherCTAETNA
HAP358OtherCTOXFORD HEALTHCARE
298481OtherCTWELLCARE SPECIALTY
100002036OtherCTRAILROAD MEDICARE
29-00882OtherCTEVERCARE
026698OtherCTCONNECTICARE
311575OtherCTWELLCARE

National Provider Directory

National Provider Directory

Locations

675 Tower Ave
Ste 402
Hartford, CT 06112
Phone (860) 714-2992

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1881713337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 TOWER AVE",
            "address_2": "SUITE 402",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061121260",
            "telephone_number": "860-714-2992",
            "fax_number": "860-714-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 TOWER AVE",
            "address_2": "SUITE 402",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061121260",
            "telephone_number": "860-714-2992",
            "fax_number": "860-714-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHANTI MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "ATTA-MENSAH",
        "authorized_official_first_name": "KOFI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-714-2992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "26698",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CT",
            "license": "26698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001266980",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "0577990",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PART B",
            "identifier": "DN7801",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "010026698CT04",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2V9515",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "566029",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTHCARE",
            "identifier": "HAP358",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE SPECIALTY",
            "identifier": "298481",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "100002036",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "29-00882",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "026698",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "311575",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.