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DR. MARIAM FOFANA MD, PHD
NPI 1649540535
Emergency Medicine in New Haven, CT

Active since January 09, 2012PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
333 CEDAR ST, NEW HAVEN, CT 06510(203) 785-7059 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 28, 2022, Nov 9, 2017 (2 updates tracked since 2017).

About Dr. Mariam Fofana Md, Phd NPPES

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

DR. MARIAM FOFANA MD, PHD (NPI 1649540535) is an individual emergency medicine provider in New Haven, Connecticut, licensed in Massachusetts (271675) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Johns Hopkins University School Of Medicine (2017).

NPPES Registry Identity

NPI1649540535
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. MARIAM FOFANACredential: MD, PHD
Location Address333 CEDAR STNew Haven, CT 06510-3206
Mailing Address333 Cedar StNew Haven, CT 06510-3206
Phone(203) 785-7059
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2017
Enumeration DateJanuary 9, 2012
Last NPPES UpdateJuly 28, 20222 updates tracked since enumeration
NPPES CertifiedJuly 28, 2022
✔ NPI 1649540535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MA · 271675
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
333 CEDAR ST, New Haven, CT 06510
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mariam Fofana Md, Phd 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 ID244504215
PECOS Enrollment IDI20241007000214
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.

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
37 services37 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06510 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

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.

DR. BRIAN CHRISTOPHER CAMBI M.D.
Internal Medicine (Interventional Cardiology)
333 CEDAR ST, DCB 3
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-4129
MATTHEW JOSEPH MCCONNELL M.D.
Internal Medicine (Gastroenterology)
333 CEDAR ST, YNHH INTERNAL MEDICINE-GI,SECTION OF DIGESTIVE DISEASES
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-7012
DR. SRI SMITHA KANAPARTHY M.D.
Anesthesiology (Pediatric Anesthesiology)
333 CEDAR ST, TMP 3
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-2802
SUNDES KAZMIR M.D.
Student in an Organized Health Care Education/Training Program
333 CEDAR ST, YALE-NEW HAVEN HOSPITAL DEPARTMENT OF PEDIATRICS
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-1947
ANASTASIA KOPTELOVA MD
Anesthesiology
333 CEDAR ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4242
ROBERT MCNAMARA MD
Internal Medicine (Cardiovascular Disease)
333 CEDAR ST, FMP 3
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-4127
DR. BRANDI PARKER COTTON APRN
Nurse Practitioner (Psychiatric/Mental Health)
333 CEDAR ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 432-1333
SARAH ELIZABETH SCHELLHORN MD
Internal Medicine (Medical Oncology)
333 CEDAR ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-4095

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 Mariam Fofana's NPI number?

The NPI number for Mariam Fofana is 1649540535. It was assigned to this individual provider in the NPPES registry on January 9, 2012.

Where is Mariam Fofana located?

Mariam Fofana practices at 333 Cedar St, New Haven, CT 06510. The listed phone number is (203) 785-7059.

What is Mariam Fofana's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Mariam Fofana enrolled in Medicare?

Yes. Mariam Fofana 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.

Is Mariam Fofana affiliated with any hospitals?

According to CMS data, Mariam Fofana is affiliated with Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Mariam Fofana was last updated on July 28, 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.