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MR. KWAME BOATENG AGYEMAN
NPI 1821521527
Internal Medicine in Loma Linda, CA

Active since April 10, 2017PECOS EnrolledAccepts Medicare Assignment
25590 PROSPECT AVE, 43E, LOMA LINDA, CA 92354(951) 640-9517 Get Directions Write a Review

NPPES record last updated: July 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2021, Apr 10, 2017 (2 updates tracked since 2017).

About Mr. Kwame Boateng Agyeman NPPES

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

MR. KWAME BOATENG AGYEMAN (NPI 1821521527) is an individual internal medicine provider in Loma Linda, California, licensed in California (A158219) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2017).

NPPES Registry Identity

NPI1821521527
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. KWAME BOATENG AGYEMAN
Location Address25590 PROSPECT AVE, 43ELoma Linda, CA 92354-3141
Mailing Address25590 Prospect Ave, 43eLoma Linda, CA 92354-3141 · (951) 640-9517
Phone(951) 640-9517
Sole ProprietorYes
Medical School CMSLoma Linda University School Of MedicineGraduated 2017
Enumeration DateApril 10, 2017
Last NPPES UpdateJuly 6, 20212 updates tracked since enumeration
NPPES CertifiedJuly 6, 2021
✔ NPI 1821521527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A158219
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
25590 PROSPECT AVE, Loma Linda, CA 92354
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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

Mr. Kwame Boateng Agyeman 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 ID9931509569
PECOS Enrollment IDI20210617002970
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92354 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 5

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

DANIELLE GULDNER PHARM D.
Pharmacist
25590 PROSPECT AVE, APT: 1E
LOMA LINDA, CA 92354
San Bernardino County (717) 580-7783
HEIDI LEE COMBS RRT
Respiratory Therapist, Registered
25590 PROSPECT AVE, APT# 13B
LOMA LINDA, CA 92354
San Bernardino County (909) 583-6130
DR. DAVID Y LEE DDS
Dentist
25590 PROSPECT AVE, APT 14B
LOMA LINDA, CA 92354
San Bernardino County (909) 380-7701
MICHAEL JOSEPH FOLEY AUD
Audiologist
25590 PROSPECT AVE, APT 26B
LOMA LINDA, CA 92354
San Bernardino County (909) 825-7084
ERIKA WASS PHARMD
Pharmacist
25590 PROSPECT AVE, APT 25G
LOMA LINDA, CA 92354
San Bernardino County (443) 567-3779

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 Kwame Agyeman's NPI number?

The NPI number for Kwame Agyeman is 1821521527. It was assigned to this individual provider in the NPPES registry on April 10, 2017.

Where is Kwame Agyeman located?

Kwame Agyeman practices at 25590 Prospect Ave 43E, Loma Linda, CA 92354. The listed phone number is (951) 640-9517.

What is Kwame Agyeman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kwame Agyeman enrolled in Medicare?

Yes. Kwame Agyeman 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.

When was this NPI record last updated?

The NPPES record for Kwame Agyeman was last updated on July 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.