LEONARD LEONARD ANANG SOWAH M.D. NPI 1003007824
Internal Medicine in Baltimore, MD

Individual Male Internal Medicine PECOS Enrolled Medicare Quality Reporting

About LEONARD LEONARD ANANG SOWAH M.D.

Leonard Sowah is an internist established in Baltimore, Maryland and his medical specialization is Internal Medicine. The healthcare provider is registered in the NPI registry with number 1003007824 assigned on August 2007. The practitioner's primary taxonomy code is 207R00000X with license number D66464 (MD). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI1003007824
Provider NameLEONARD LEONARD ANANG SOWAH M.D.
Location Address22 S GREENE ST BALTIMORE, MD 21201
Location Phone(410) 706-4619
Mailing AddressPO BOX 64442 BALTIMORE, MD 21264
GenderMale
Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date08-06-2007
Last Update Date07-15-2020
Code Navigator

An internist like Leonard Sowah is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

The provider participated in CMS Quality Payment Program and the following quality measures were reported: chronic care and preventative care management for empaneled patients, colorectal cancer screening, diabetes: eye exam, e-prescribing, immunization registry reporting, implementation of medication management practice improvements, measurement and improvement at the practice and panel level, medication reconciliation, patient-specific education, preventive care and screening: body mass index (bmi) screening and follow-up plan, provide patient access, secure messaging, security risk analysis, specialized registry reporting and use of decision support and standardized treatment protocols. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

Business Address

22 S GREENE ST
BALTIMORE, MD
ZIP 21201
Phone: (410) 706-4619
Fax: (410) 706-2062

Get Directions

Mailing Address

PO BOX 64442
BALTIMORE, MD
ZIP 21264
Phone: (410) 706-4613
Fax: (410) 706-4619


Secondary Locations

4924 Campbell Blvd Ste 125
Baltimore, MD 21236
(443) 461-1997

Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.D66464
License StateMD
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine036117582 (IL)

Location Map

Insurance Plans Accepted

The NPI profile data suggests this provider may be accepting health plans from these insurance companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
510361400MEDICAID (05)MD

PECOS Enrollment and Medicare Participation Status

Leonard Sowah is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

    Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 21201 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $145.45
  • Minimum New Patient Price $63.64
  • Maximum New Patient Price $191.95
  • Average New Patient Copayment $36.36
  • Minimum New Patient Copayment $15.91
  • Maximum New Patient Copayment $47.98

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $112.24
  • Minimum Established Patient Price $19.91
  • Maximum Established Patient Price $156.57
  • Average Established Patient Copayment $28.06
  • Minimum Established Patient Copayment $4.97
  • Maximum Established Patient Copayment $39.14

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Quality Reporting

The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Chronic Care and Preventative Care Management for Empaneled PatientsYesN/A
Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions; • Use condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use reminders and outreach (e.g., phone calls, emails, postcards, patient portals and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation.
Colorectal Cancer Screening 46% 80
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
Diabetes: Eye Exam 40% 43
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
e-Prescribing 98% 607
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Immunization Registry ReportingYesN/A
The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data.
Implementation of medication management practice improvementsYesN/A
Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews.
Measurement and Improvement at the Practice and Panel LevelYesN/A
Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level.
Medication Reconciliation 97% 29
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
Patient-Specific Education 95% 151
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 70% 148
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Provide Patient Access 100% 151
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.
Secure Messaging 7% 151
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period.
Security Risk AnalysisYesN/A
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.
Specialized Registry ReportingYesN/A
The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI.
Use of decision support and standardized treatment protocolsYesN/A
Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003007824
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003001484
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 0 + 1 + 4 + 8 + 4 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1003007824 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Provider Reviews

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1750383063MS. MALINDA DANIEL DUKE CPNP, CDE
Individual
Nurse Practitioner (Pediatrics)22 S GREENE ST RM N6W84
BALTIMORE, MD 21201
(410) 328-3410
1700881802DR. MARIA BAER MD
Individual
Internal Medicine (Hematology & Oncology)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-8708
1982604773 MICHELLE DUELL CRNA
Individual
Specialist22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-6704
1003817131DR. LISA MANUELA MARTINEZ M.D.
Individual
Internal Medicine22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-9595
1164416400DR. KIRSTEN ELLIZABETH LYKE M.D.
Individual
Internal Medicine (Infectious Disease)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-5793
1225023278MR. CHRISTOPHER OUDEKERK CRNA
Individual
Nurse Anesthetist, Certified Registered22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-6704
1942296124DR. MARCIA A MCAVOY M.D.
Individual
Radiology (Diagnostic Radiology)22 S GREENE ST DEPT. OF RADIOLOGY
BALTIMORE, MD 21201
(410) 328-3477
1649266610DR. GEORGE W GROSS MD
Individual
Radiology (Diagnostic Radiology)22 S GREENE ST ROOM N2E23
BALTIMORE, MD 21201
(410) 328-5656
1568459733MRS. DARBI NICHOLE ROBINSON CRNP
Individual
Nurse Practitioner22 S GREENE ST NEONATOLOGY DEPARTMENT
BALTIMORE, MD 21201
(410) 328-6717
1376534222DR. PETR FRANTISEK HAUSNER MD
Individual
Internal Medicine (Medical Oncology)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-2567
1427039940 ROGER DAVID BAXTER CRNA
Individual
Nurse Anesthetist, Certified Registered22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-6704
1497730592 MAYURIKA GHOSH MD
Individual
Internal Medicine (Infectious Disease)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-2463
1790763993DR. THOMAS M SCALEA M.D.
Individual
Surgery (Trauma Surgery)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-6566
1649250622DR. KENT EDWARD KESTER M.D.
Individual
Internal Medicine (Infectious Disease)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-6704
1518939925DR. WILLIAM C CHIU M.D.
Individual
Surgery (Trauma Surgery)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-6566
1740259274DR. MANGLA S GULATI M.D.
Individual
Hospitalist22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-5793
1720047129 HEATHER D MANNUEL MD
Individual
Internal Medicine (Medical Oncology)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-2567
1619937539DR. RAJABRATA SARKAR M.D., PH.D.
Individual
Surgery (Vascular Surgery)22 S GREENE ST S10B00
BALTIMORE, MD 21201
(410) 328-5840
1003877093DR. CAROL OVERTON TACKET M.D.
Individual
Internal Medicine (Infectious Disease)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-5793
1215998281DR. PAMELA JAYNE AMELUNG M.D.
Individual
Internal Medicine (Pulmonary Disease)22 S GREENE ST
BALTIMORE, MD 21201
(410) 705-5762

Frequently Asked Questions

What is Dr. Leonard Sowah M.D. NPI number?

The NPI number assigned to this healthcare provider is 1003007824, enumerated in the NPI registry as an "individual" on August 06, 2007

Where is the provider located?

The provider is located at 22 S Greene St Baltimore, Md 21201 and the phone number is (410) 706-4619

What is the provider specialty code?

The provider's speciality is Internal Medicine with taxonomy code 207R00000X

What insurance does Dr. Leonard Sowah M.D. accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Is Dr. Leonard Sowah M.D. registered in PECOS?

Yes, as of December 01, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Dr. Leonard Sowah M.D.?

Medicare beneficiaries should expect a typical cost of $145.45 with an average copayment of $36.36 for new patient appointments. Established patients should expect a typical charge of $112.24 and an average copayment of 28.06. Please review your insurance plan or contact the provider directly to determine your specific costs.

How do I update my NPI information?

This NPI record was last updated on August 06, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.