DR. FREDA OWUSUA BOATENG (M.D.) – Internal Medicine Physician, NPI 1386832848
Internal Medicine Physician
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NPPES metrics only — not quality of care.
3,448 INTERNAL MEDICINE in CT
Provider Addresses for DR. FREDA OWUSUA BOATENG (M.D.)
850, Mix Avenue, Hamden, New Haven County, Connecticut, 06514, United States
HAMDEN, CT 06514
Phone: (203) 281-3500
Fax: (203) 688-4740
Type: Mailing
20 York St
New Haven, CT 065103220
Phone: (203) 688-4748
Fax: (203) 688-4740
Type: Location
850 MIX AVE
HAMDEN, CT 065142102
Phone: (203) 281-3500
Fax: (203) 688-4740
Type: Mailing
Bridgeport Hospital, 267, Grant Street, Historic East Side, Bridgeport, Fairfield County, Connecticut, 06610, United States
BRIDGEPORT, CT 066102805
Phone: (203) 384-4677
Fax: (203) 384-3135
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-01-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200123002861 | I | Internal Medicine | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06514)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | DC | |
| Colorectal Surgery (Proctology), General Surgery | LA | |
| - | CA | |
| N E U R O S U R G E R Y | MA | |
| Internal Medicine | CA | |
| Nurse Practitioner | CA | |
| Internal Medicine | CA | |
| Emergency Medicine | CA | |
| - | MA | |
| Emergency Medicine | CA |
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