Individual provider Active NPI

Samuel Boateng Akuoku, M.D

  • Internal Medicine Physician
  • Laurelton, NY
National Provider Identifier
1962574418
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
178587 Issued in NY
Practice address
22414 Merrick Blvd
Laurelton, NY 11413-2023
Phone
(718) 949-6433
Fax
(718) 949-0331
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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 178587 NY Primary

Addresses

Primary practice location

22414 Merrick Blvd
Laurelton, NY 11413-2023

Mailing address

8 Tatem Way
Old Westbury, NY 11568-1716
Phone (718) 344-8207

Other identifiers 1

IdentifierTypeStateIssuer
01155251MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sakuoku100522@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20110502000519 NY Practitioner - Internal Medicine 9931202389 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Internal Medicine CurrentSince Mar 1, 2015 Accepting new patients
New York University Internal Medicine CurrentSince Mar 1, 2015 Accepting new patients
Samuel Akuoku Physician PC PastSince Mar 5, 2007 Accepting new patients

Locations

22414 Merrick Blvd
Laurelton, NY 11413
Phone (718) 949-6433

22414 Merrick Blvd
Ste B
Laurelton, NY 11413
Phone (718) 949-6433

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

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.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1962574418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 TATEM WAY",
            "city": "OLD WESTBURY",
            "state": "NY",
            "postal_code": "115681716",
            "telephone_number": "718-344-8207",
            "fax_number": "718-949-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22414 MERRICK BLVD",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114132023",
            "telephone_number": "718-949-6433",
            "fax_number": "718-949-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKUOKU",
        "first_name": "SAMUEL",
        "middle_name": "BOATENG",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "178587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01155251",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sakuoku100522@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "22414 Merrick Blvd",
            "city": "Laurelton",
            "state": "NY",
            "country_code": "US",
            "postal_code": "114132023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laurelton, NY

Sources for this page

Verify at the official NPI Registry.