DR. KOFI ODURO-BOADU M.D.
NPI 1407430457
Family Medicine in Jackson, MS

Q: What is Kofi Oduro-boadu's NPI number?

The NPI number for Kofi Oduro-boadu is 1407430457. It was assigned to this individual provider in the NPPES registry on May 6, 2021. The provider is also known as Dr. Kofi Oduro-Boadu MD.

Q: What is Kofi Oduro-boadu's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kofi Oduro-boadu was last updated on May 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 May 06, 2021PECOS EnrolledAccepts Medicare Assignment

2500 NORTH STATE STREET, JACKSON, MS 39216(601) 984-5426(601) 984-6889 Get Directions Write a Review

NPPES record last updated: May 31, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Kofi Oduro-boadu M.d. NPPES

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

DR. KOFI ODURO-BOADU M.D. (NPI 1407430457) is an individual family medicine provider in Jackson, Mississippi, licensed in Mississippi (T-4311) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with St Dominic-jackson Memorial Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1407430457

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. KOFI ODURO-BOADUCredential: M.D.

Location Address2500 NORTH STATE STREETJackson, MS 39216-4500

Mailing Address2500 North State StreetJackson, MS 39216-4500 · (601) 984-5426 · Fax (601) 984-6889

Phone(601) 984-5426

Fax(601) 984-6889

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMay 6, 2021

Last NPPES UpdateMay 31, 2022

NPPES CertifiedMay 31, 2022

✔ NPI 1407430457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MS · T-4311

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2500 NORTH STATE STREET, Jackson, MS 39216

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Other Names 1

Other Name (5)Dr. Kofi Oduro-boadu Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kofi Oduro-boadu M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052701547

PECOS Enrollment IDI20241105003823

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 Oduro-boadu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rh Mississippi Hospitalist Medicine, LLC

0.7 mi

Hospitalist

969 LAKELAND DR
Jackson, MS 39216

Reassigned Medicare billing, Mississippi enrollment
109 clinicians in this Medicare group

NPI 1891541207 (601) 200-2000

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

140 services140 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

51 services50 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

21 services15 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Dominic-Jackson Memorial Hospital

Acute Care Hospitals · Jackson, MS

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number250048

Location969 Lakeland DrJackson, MS 39216 · Hinds County

Emergency services Birthing friendly

King's Daughters Medical Center-Brookhaven

Acute Care Hospitals · Brookhaven, MS

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number250057

Location427 Highway 51 NorthBrookhaven, MS 39601 · Lincoln County

Emergency services Birthing friendly

Southwest Ms Regional Medical Center

Acute Care Hospitals · Mccomb, MS

1/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number250097

Location215 Marion Av Box 1307Mccomb, MS 39649 · Pike County

Emergency services Birthing friendly

Baptist Medical Center-Leake

Critical Access Hospitals · Carthage, MS

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number251315

Location1100 Highway 16 East/Po Box 909Carthage, MS 39051 · Leake County

Emergency services

Copiah County Medical Center

Critical Access Hospitals · Hazlehurst, MS

OwnershipGovernment - Local

CMS Certification Number251327

Location21790 Highway 28Hazlehurst, MS 39083 · Copiah County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

MR. BRADFORD STEELE MARTIN FNP-C

Nurse Practitioner

2500 NORTH STATE STREET, DEPARTMENT OF ORTHOPEDICS
JACKSON, MS 39216

Hinds County (601) 815-3045

EMILY BRUMFIELD NP

Nurse Practitioner (Critical Care Medicine)

2500 NORTH STATE STREET
JACKSON, MS 39216

Hinds County (601) 984-5500

KIMBERLY C. COVINGTON TARVER MD

Internal Medicine (Geriatric Medicine)

2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE/DIVISION OF GERIATRICS
JACKSON, MS 39216

Hinds County (601) 984-6426

MR. MARCELO EDUARDO RAINS M.D.

Pediatrics

2500 NORTH STATE STREET, UMMC NEONATOLOGY
JACKSON, MS 39216

Hinds County (601) 984-1000

DR. CELSO E. GOMEZ-SANCHEZ MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE DIVISION OF ENDOCRINOLOGY
JACKSON, MS 39216

Hinds County (601) 984-5525

MS. CHANDRA ANITA BOSTON C.F.P.M.H.N.P.

Nurse Practitioner (Psychiatric/Mental Health)

2500 NORTH STATE STREET
JACKSON, MS 39216

Hinds County (601) 815-4128

DR. KENNETH R. BENNETT MD

Internal Medicine (Cardiovascular Disease)

2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE DIVISION OF CARDIOLOGY
JACKSON, MS 39216

Hinds County (601) 984-5678

DR. GUY DOUGLAS CAMPBELL MD

Internal Medicine (Pulmonary Disease)

2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE/DIVISION OF PULMONARY
JACKSON, MS 39216

Hinds County (601) 984-5650

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 Oduro-boadu's NPI number?

The NPI number for Kofi Oduro-boadu is 1407430457. It was assigned to this individual provider in the NPPES registry on May 6, 2021. The provider is also known as Dr. Kofi Oduro-Boadu MD.

Where is Kofi Oduro-boadu located?

Kofi Oduro-boadu practices at 2500 North State Street, Jackson, MS 39216. The listed phone number is (601) 984-5426.

What is Kofi Oduro-boadu's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kofi Oduro-boadu enrolled in Medicare?

Yes. Kofi Oduro-boadu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kofi Oduro-boadu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kofi Oduro-boadu reassigns Medicare benefits to Rh Mississippi Hospitalist Medicine, LLC (Jackson, MS). 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 Oduro-boadu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kofi Oduro-boadu affiliated with any hospitals?

According to CMS data, Kofi Oduro-boadu is affiliated with St Dominic-Jackson Memorial Hospital, King's Daughters Medical Center-Brookhaven, Southwest Ms Regional Medical Center, Baptist Medical Center-Leake and Copiah County Medical Center.

When was this NPI record last updated?

The NPPES record for Kofi Oduro-boadu was last updated on May 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.