MISS EDITH ADWOA KODUAH NP
NPI 1235655895
Nurse Practitioner - Adult Health in Bronx, NY

Q: What is Edith Koduah's NPI number?

The NPI number for Edith Koduah is 1235655895. It was assigned to this individual provider in the NPPES registry on August 16, 2017.

Q: What is Edith Koduah's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Edith Koduah was last updated on August 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 August 16, 2017PECOS Enrolled

2015 GRAND CONCOURSE, BRONX, NY 10453(718) 299-7295(718) 299-6797 Get Directions Write a Review

NPPES record last updated: August 16, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Miss Edith Adwoa Koduah Np NPPES

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

MISS EDITH ADWOA KODUAH NP (NPI 1235655895) is an individual adult health provider in Bronx, New York, licensed in New York (F308144) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235655895

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMISS EDITH ADWOA KODUAHCredential: NP

Location Address2015 GRAND CONCOURSEBronx, NY 10453-4303

Mailing Address3198 Grand ConcourseBronx, NY 10458-1000 · (718) 618-0401 · Fax (347) 479-1303

Phone(718) 299-7295

Fax(718) 299-6797

Sole ProprietorNo

Enumeration DateAugust 16, 2017

✔ NPI 1235655895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · F308144

2015 GRAND CONCOURSE, Bronx, NY 10453

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Edith Adwoa Koduah Np 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 Reassignments

Medicare enrollment records show Edith Koduah reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Essen Medical Associates, PC

Same address

Legal Medicine

2015 GRAND CONCOURSE
Bronx, NY 10453

Reassigned Medicare billing, New York enrollment
1,393 clinicians in this Medicare group

NPI 1366418709 (718) 583-7736

Bronx Medical Practice P.C.

3.2 mi

Internal Medicine

2626 HALPERIN AVE
Bronx, NY 10461

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Bronx Medical Practice PC
1,013 clinicians in this Medicare group

NPI 1356726087 (646) 340-1309

North Shore-Lij Medical PC

11 mi

Urology

1010 NORTHERN BLVD STE 110
Great Neck, NY 11021

Reassigned Medicare billing, New York enrollment
9,353 clinicians in this Medicare group

NPI 1053688572 (516) 321-7400

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 10453 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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 20

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

MANA RAO M.D.

Internal Medicine (Infectious Disease)