DR. KOFI ADADE-BOAFO M.D.
NPI 1003898792
Pediatrics in San Bernardino, CA

Q: What is Kofi Adade-boafo's NPI number?

The NPI number for Kofi Adade-boafo is 1003898792. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Q: What is Kofi Adade-boafo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kofi Adade-boafo was last updated on October 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 17, 2005PECOS Enrolled

2150 N WATERMAN AVE, STE 200, SAN BERNARDINO, CA 92404(909) 887-7951(909) 883-1634 Get Directions Write a Review

NPPES record last updated: October 23, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Kofi Adade-boafo M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KOFI ADADE-BOAFO M.D. (NPI 1003898792) is an individual pediatrics provider in San Bernardino, California, licensed in California (A77940) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003898792

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. KOFI ADADE-BOAFOCredential: M.D.

Location Address2150 N WATERMAN AVE, STE 200San Bernardino, CA 92404-4811

Mailing AddressPo Box 12209San Bernardino, CA 92423-2209 · (909) 335-4188

Phone(909) 887-7951

Fax(909) 883-1634

Sole ProprietorNo

Enumeration DateNovember 17, 2005

Last NPPES UpdateOctober 23, 2015

✔ NPI 1003898792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A77940

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2150 N WATERMAN AVE, San Bernardino, CA 92404

Open in Google Maps ↗

Other Identifiers 1

OtherA77940CA · Md License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kofi Adade-boafo M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kofi Adade-boafo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pinnacle Medical Group, Inc

9.0 mi

Family Medicine

8110 MANGO AVE
Fontana, CA 92335

Reassigned Medicare billing, California enrollment
149 clinicians in this Medicare group

NPI 1376876912 (909) 427-1303

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ARTHUR FRIEDMAN O.D.

Optometrist

2150 N WATERMAN AVE, #201
SAN BERNARDINO, CA 92404

San Bernardino County (909) 881-2020

KHA DANG LE AND ANNE HANGMAN LE DMD INC

Dentist (General Practice)

2150 N WATERMAN AVE, SUITE # 103
SAN BERNARDINO, CA 92404

San Bernardino County (909) 882-7974

DR. MICHAEL HUANG O.D.

Optometrist

2150 N WATERMAN AVE, SUITE 201
SAN BERNARDINO, CA 92404

San Bernardino County (909) 881-2020

DR. SON NGOC NGUYEN M.D.

Family Medicine

2150 N WATERMAN AVE, STE 202
SAN BERNARDINO, CA 92404

San Bernardino County (909) 383-9385

MS. MARIA D TORRES PA-C

Physician Assistant

2150 N WATERMAN AVE, STE 202
SAN BERNARDINO, CA 92404

San Bernardino County (909) 383-9385

ROLANDO B CADIZ M.D.

Family Medicine

2150 N WATERMAN AVE
SAN BERNARDINO, CA 92404

San Bernardino County (909) 881-4115

PINNACLE MEDICAL GROUP, INC.

Family Medicine

2150 N WATERMAN AVE
SAN BERNARDINO, CA 92404

San Bernardino County (909) 881-4115

BAO LOU NGUYEN DDS

Dentist (Endodontics)

2150 N WATERMAN AVE, STE 103
SAN BERNARDINO, CA 92404

San Bernardino County (909) 882-7974

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kofi Adade-boafo's NPI number?

The NPI number for Kofi Adade-boafo is 1003898792. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Where is Kofi Adade-boafo located?

Kofi Adade-boafo practices at 2150 N Waterman Ave Ste 200, San Bernardino, CA 92404. The listed phone number is (909) 887-7951.

What is Kofi Adade-boafo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kofi Adade-boafo enrolled in Medicare?

Yes. Kofi Adade-boafo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kofi Adade-boafo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kofi Adade-boafo reassigns Medicare benefits to Pinnacle Medical Group, Inc (Fontana, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kofi Adade-boafo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kofi Adade-boafo was last updated on October 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.