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KYEIWAA AMOFA-BOACHIE MD
NPI 1619438561
Pediatrics - Adolescent Medicine in Washington, PA

Active since March 25, 2019PECOS Enrolled
351 W BEAU ST STE 200, WASHINGTON, PA 15301(724) 228-7400 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 8, 2024, Aug 14, 2023 (2 updates tracked since 2023).

About Kyeiwaa Amofa-boachie Md NPPES

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

KYEIWAA AMOFA-BOACHIE MD (NPI 1619438561) is an individual adolescent medicine provider in Washington, Pennsylvania, licensed in Pennsylvania (MD477888) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619438561
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameKYEIWAA AMOFA-BOACHIECredential: MD
Location Address351 W BEAU ST STE 200Washington, PA 15301-4663
Mailing Address351 W Beau St Ste 200Washington, PA 15301-4663 · (724) 228-7400
Phone(724) 228-7400
Sole ProprietorYes
Enumeration DateMarch 25, 2019
Last NPPES UpdateMay 8, 20242 updates tracked since enumeration
NPPES CertifiedAugust 14, 2023
✔ NPI 1619438561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in PA · MD477888
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
351 W BEAU ST STE 200, Washington, PA 15301
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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)

Kyeiwaa Amofa-boachie Md 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 Kyeiwaa Amofa-boachie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cornerstone Care Inc
Same address
Federally Qualified Health Center (FQHC)
351 W BEAU ST STE 301
Washington, PA 15301
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 55 clinicians in this Medicare group
NPI 1306474598 (724) 228-7400

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

Other Providers at the Same Location NPPES 4

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

HANNAH MARZE MICKEY
Nurse Practitioner (Family)
351 W BEAU ST STE 200
WASHINGTON, PA 15301
Washington County (724) 228-7400
TARA LYNN BRAITHWAITE DO
Family Medicine
351 W BEAU ST STE 200
WASHINGTON, PA 15301
Washington County (724) 228-7400
MRS. PATRICIA LEWIS LPC
Social Worker
351 W BEAU ST STE 200
WASHINGTON, PA 15301
Washington County (724) 228-1089
CORNERSTONE CARE INC
Clinic/Center (Federally Qualified Health Center (FQHC))
351 W BEAU ST STE 200
WASHINGTON, PA 15301
Washington County (724) 228-7400

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 Kyeiwaa Amofa-boachie's NPI number?

The NPI number for Kyeiwaa Amofa-boachie is 1619438561. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Where is Kyeiwaa Amofa-boachie located?

Kyeiwaa Amofa-boachie practices at 351 W Beau St Ste 200, Washington, PA 15301. The listed phone number is (724) 228-7400.

What is Kyeiwaa Amofa-boachie's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Kyeiwaa Amofa-boachie enrolled in Medicare?

Yes. Kyeiwaa Amofa-boachie is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kyeiwaa Amofa-boachie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyeiwaa Amofa-boachie reassigns Medicare benefits to Cornerstone Care Inc (Washington, PA). 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 Kyeiwaa Amofa-boachie'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 Kyeiwaa Amofa-boachie was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.