DR. MARIAM FOFANA MD, PHD
NPI 1649540535
Emergency Medicine in New Haven, CT
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
Specialties & Licenses
Accepted Insurance
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. 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.
Medicare Billing Reassignments
3Medicare enrollment records show Mariam Fofana reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30322
- Reassigned Medicare billing, Georgia enrollment
- 4,840 clinicians in this Medicare group
Atlanta, GA 30303
- Reassigned Medicare billing, Georgia enrollment
- 2,681 clinicians in this Medicare group
Lagrange, GA 30240
- Reassigned Medicare billing, Georgia enrollment
- 1,506 clinicians in this Medicare group
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 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.
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, GAPhysician 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.
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.
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.
NEW HAVEN, CT 06510
NEW HAVEN, CT 06510
NEW HAVEN, CT 06510
NEW HAVEN, CT 06510
NEW HAVEN, CT 06510
NEW HAVEN, CT 06510
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.
Which organizations bill Medicare for Mariam Fofana's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mariam Fofana reassigns Medicare benefits to 3 organizations: The Emory Clinic Inc (Atlanta, GA), Emory Medical Care Foundation Inc (Atlanta, GA) and Emory Specialty Associates, LLC (Lagrange, GA). Each 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 Mariam Fofana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mariam Fofana accept?
Health plans from Oscar Health list Mariam Fofana as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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.
# Dr. Mariam Fofana, MD, PHD · NPI 1649540535
Emergency Medicine physician in New Haven, Connecticut. Individual provider, active in the CMS NPPES registry since January 9, 2012.
## Identity
- **NPI:** 1649540535 (Entity type: Individual)
- **Enumerated:** January 9, 2012
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 271675 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 333 CEDAR ST, New Haven, CT 06510-3206
- **Phone:** (203) 785-7059
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): The Emory Clinic Inc (NPI 1396798229, Atlanta, GA); Emory Medical Care Foundation Inc (NPI 1063452381, Atlanta, GA); Emory Specialty Associates, LLC (NPI 1407864168, Lagrange, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Johns Hopkins University School Of Medicine, class of 2017
## Record status
- **NPPES last updated:** July 28, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1649540535) · Data from the CMS NPPES public registry.