NPIMap

Individual provider Active NPI

Stephen Adu-Yeboah, M.D.

  • Pulmonary Disease Physician
  • Mason, OH
National Provider Identifier
1902332075
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
35.137236 Issued in OH
Practice address
5230 Kings Mills Rd
Mason, OH 45040-2319
Phone
(513) 981-5820
NPI assigned
May 10, 2017
Last updated
Jul 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Pulmonary Disease Physician 207RP1001X 35.137236 OH Primary

Addresses

Primary practice location

5230 Kings Mills Rd
Mason, OH 45040-2319

Mailing address

5230 Kings Mills Rd
Mason, OH 45040-2319
Phone (513) 981-5820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210702002195 OH Practitioner - Family Practice 4284902941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2960 Mack Rd
Suite 200
Fairfield, OH 45014-5300
Phone (513) 860-5200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.137236OHMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati Specialty Care LLC Pulmonary Disease CurrentSince Sep 2, 2023 Accepting new patients
Mercy Health Physicians Cincinnati, LLC Pulmonary Disease CurrentSince Aug 1, 2021 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Sep 2, 2023 Accepting new patients
Mercy Health Physicians Cincinnati LLC CurrentSince Aug 1, 2021 Accepting new patients

Locations

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

2960 Mack Rd
Ste 200
Fairfield, OH 45014
Phone (513) 860-5200

5230 Kings Mills Rd
Mason, OH 45040
Phone (513) 229-7883

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

Interoperability endpoints

  • Direct secure messaging: saduyeboah320621@direct.bsmhealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1902332075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 KINGS MILLS RD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450402319",
            "telephone_number": "513-981-5820",
            "fax_number": "513-981-5829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 KINGS MILLS RD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450402319",
            "telephone_number": "513-981-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADU-YEBOAH",
        "first_name": "STEPHEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-10",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35.137236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

Verify at the official NPI Registry.