Doreen Esther Amankwah Owusu, MD

Key facts

NPI: 1922595891
Entity type: Individual (NPI type 1)
Primary specialty: Family Medicine Physician 207Q00000X
License: 312122 (NY)
Practice address: 130 Medford Ave
Patchogue, NY 11772-1206
Phone: (631) 475-5734
NPI assigned: Apr 17, 2018
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Patchogue Family Medical Care, PC Family Medicine Physician · Patchogue, NY · NPI 1700915113

Medicare reassignment Care Compare group NPD FAMILY MEDICINE · NY

Hospital & facility affiliations 3

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

NYU Langone Hospitals Mental Health Clinic/Center (Including Community Mental Health Center) · Patchogue, NY · NPI 1013724061

Care Compare affiliation Hospital
NYU Langone Hospitals General Acute Care Hospital · Patchogue, NY · NPI 1831910355

Care Compare affiliation Hospital
Tender Loving Care Health Care Services of Nassau Suffolk, LLC Home Health Agency · Medford, NY · NPI 1699715961

Care Compare affiliation Home health agency

Medicare Care Compare profile

Specialty: Family Practice
Education: Other, 2021
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Telehealth: Offers telehealth services
Group practices: Patchogue Family Medical Care PC (3 clinicians)

Practice addresses (Care Compare)

130 Medford Ave
Patchogue, NY 11772-1206
Phone (631) 475-5734

Hospital & facility affiliations

Tender Loving Care, an Amedisys Company Home health agency · Medford, NY · CCN 337260
Long Island Community Hospital Hospital · Patchogue, NY · CCN 330141

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NY
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20210816002814	NY	Practitioner - Family Practice	5496009912	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

Practice roles

Organization	Specialty	Status	New patients
Patchogue Family Medical Care, PC	Family Medicine	Current since Jul 29, 2021	Accepting new patients

Locations

130 Medford Ave
Patchogue, NY 11772
Phone (631) 475-5734

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Family Medicine Physician	207Q00000X	312122	NY	Yes

Addresses

Primary practice location

130 Medford Ave
Patchogue, NY 11772-1206

Mailing address

130 Medford Ave
Patchogue, NY 11772-1206
Phone (631) 475-5734

Other names

Doreen Esther Aboagye Former name

Other providers in Patchogue, NY

All providers in Patchogue, NY · Family Medicine Physician in New York

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.