NPIMap

Individual provider Active NPI

Henry Mbah Chick Fosah, M.D.

  • Family Medicine Physician
  • Abilene, TX
National Provider Identifier
1992935456
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P3886 Issued in TX
Practice address
1210 N 18TH St
Abilene, TX 79601-2933
Phone
(325) 670-5530
Fax
(325) 670-5536
NPI assigned
Jul 18, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301094544 MI
Family Medicine Physician 207Q00000X P3886 TX Primary

Addresses

Primary practice location

1210 N 18TH St
Abilene, TX 79601-2933

Mailing address

PO Box 1198
Abilene, TX 79604-1198
Phone (325) 670-4220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120810000710 TX Practitioner - Family Practice 0749436483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hendrick Provider NetworkGroup PAC ID 9739162181, 234 clinicians
The West Texas Rehabilitation CenterGroup PAC ID 2860301215, shared by 5 NPIs, 444 clinicians

Practice addresses (Care Compare)

1150 N 18TH St
Abilene, TX 79601-2931

1900 Pine St
Abilene, TX 79601-2432

1904 Pine St
Abilene, TX 79601-2450

4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3411

774 State Hwy 70 N
Rotan, TX 79546-6918
Phone (325) 670-5360

Hospital & facility affiliations

  • Angels Care Home Health of San Angelo Home health agency, San Angelo, TX, CCN 679429
  • Enhabit Home Health Home health agency, Abilene, TX, CCN 679184
  • Hendrick Home Health Home health agency, Abilene, TX, CCN 457761
  • Kinder Hearts Home Health Home health agency, Abilene, TX, CCN 679193
  • Vitalcaring Group Home health agency, Ft Worth, TX, CCN 677132
  • Hendrick Medical Center Hospital, Abilene, TX, CCN 450229

Merit-based Incentive Payment System (MIPS)

Final score
91.86 of 100Reported as individual
Quality
80.98
Promoting interoperability
100
Improvement activities
40
Cost
66.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301094544MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Provider Network CurrentSince Aug 1, 2012 Accepting new patients
Hendrick Provider Network Family Medicine CurrentSince Aug 1, 2012 Accepting new patients
Hendrick Medical Center Current Accepting new patients

Locations

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

1210 N 18th St
Abilene, TX 79601
Phone (325) 670-4020

1150 N 18th St
Ste 200
Abilene, TX 79601
Phone (325) 670-2255

Interoperability endpoints

  • Direct secure messaging: henry.fosah.1@21794.direct.athenahealth.com
  • Direct secure messaging: hfosah@hmc.allscriptsdirect.net

Organizations & group practices 3

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 6

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": "1247875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410393600000",
    "number": "1992935456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1198",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796041198",
            "telephone_number": "325-670-4220",
            "fax_number": "325-670-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 N 18TH ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012933",
            "telephone_number": "325-670-5530",
            "fax_number": "325-670-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSAH",
        "first_name": "HENRY",
        "middle_name": "MBAH CHICK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-18",
        "last_updated": "2014-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301094544",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P3886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.