ACHIAMAH OSEI-TUTU M.D.
NPI 1376733345
Dermatology in Great Neck, NY

Active since July 26, 2007Opted out of Medicare · through May 28, 2027
560 NORTHERN BLVD, SUITE 204A, GREAT NECK, NY 11021(516) 506-0025(516) 506-0032 Get Directions Write a Review

NPPES record last updated: September 3, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Achiamah Osei-tutu M.d. NPPES

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

ACHIAMAH OSEI-TUTU M.D. (NPI 1376733345) is an individual dermatology provider in Great Neck, New York, licensed in New York (251302) and active in the NPI registry since July 2007. She has opted out of Medicare through May 28, 2027 and remains eligible to order and refer and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2005).

NPPES Registry Identity

NPI1376733345
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameACHIAMAH OSEI-TUTUCredential: M.D.
Location Address560 NORTHERN BLVD, SUITE 204AGreat Neck, NY 11021-5118
Mailing Address560 Northern Blvd, Suite 204aGreat Neck, NY 11021-5118 · (516) 506-0025 · Fax (516) 506-0032
Fax(516) 506-0032
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2005
Enumeration DateJuly 26, 2007
Last NPPES UpdateSeptember 3, 2014
NPI 1376733345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in NY · 251302
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
560 NORTHERN BLVD, Great Neck, NY 11021

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Achiamah Osei-tutu M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 28, 2019 through May 28, 2027.

Opt-Out Effective DateMay 28, 2019
Opt-Out In Effect ThroughMay 28, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11021 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
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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.

General Practice
560 NORTHERN BLVD
GREAT NECK, NY 11021
Internal Medicine (Endocrinology, Diabetes & Metabolism)
560 NORTHERN BLVD
GREAT NECK, NY 11021
Internal Medicine (Endocrinology, Diabetes & Metabolism)
560 NORTHERN BLVD
GREAT NECK, NY 11021
Specialist
560 NORTHERN BLVD, STE 102
GREAT NECK, NY 11021
Otolaryngology
560 NORTHERN BLVD
GREAT NECK, NY 11021
Dentist (Periodontics)
560 NORTHERN BLVD, SUITE 205
GREAT NECK, NY 11021
Obstetrics & Gynecology (Gynecology)
560 NORTHERN BLVD, SUITE 103
GREAT NECK, NY 11021
Specialist
560 NORTHERN BLVD, SUITE 102
GREAT NECK, NY 11021

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 Achiamah Osei-tutu's NPI number?

The NPI number for Achiamah Osei-tutu is 1376733345. It was assigned to this individual provider in the NPPES registry on July 26, 2007.

Where is Achiamah Osei-tutu located?

Achiamah Osei-tutu practices at 560 Northern Blvd Suite 204A, Great Neck, NY 11021. The listed phone number is (516) 506-0025.

What is Achiamah Osei-tutu's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Achiamah Osei-tutu enrolled in Medicare?

No. Achiamah Osei-tutu has opted out of Medicare through May 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Achiamah Osei-tutu was last updated on September 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.