ANDREA AKYEAMPONG – Family Medicine Physician, NPI 1508401449

ANDREA AKYEAMPONG is a healthcare provider. based in La grange park, Illinois. specializing in FAMILY PRACTICE. They hold a License No. 34292 (WV). The NPI Number for ANDREA AKYEAMPONG is 1508401449

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
ANDREA AKYEAMPONG
NPI
1508401449
Phone
(312) 914-0611
Address
306 N KENSINGTON AVE
Enumeration Date
14 November 2019
Last Update Date
25 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6812471260
Graduation Year
2019 (7 years ago)
PAC ID
8325571490
Group Practice PAC ID
9133405327
Professional Enrollment ID
I20241028002589
Address ID
WV254047552MA120XXDRXX303

Contacts

Secure Messaging
aakyeampong1458945@ValleyHealth.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

1,494 FAMILY PRACTICE in MD

Provider Addresses for ANDREA AKYEAMPONG

  • 306 N KENSINGTON AVE

    LA GRANGE PARK, IL 605261870

    Phone: (312) 914-0611

    Fax: (312) 929-0324

    Type: Mailing

  • 1724 MARSHALL ST

    BALTIMORE, MD 212304819

    Phone: (312) 914-0611

    Fax: (312) 929-0324

    Type: Location

  • 1724 Marshall St

    Baltimore, MD 212304819

    Phone: (312) 914-0611

    Fax: (312) 929-0324

    Type: Location

  • 4803 Gerrardstown Rd

    Inwood, WV 254283450

    Phone: (304) 821-9011

    Fax: (304) 821-9012

    Type: Location

  • 220 CAMPUS BLVD STE 320

    WINCHESTER, VA 226012889

    Phone: (540) 536-5100

    Fax: (540) 536-0235

    Type: Mailing

  • 120 CAMPUS DR STE 211

    MARTINSBURG, WV 254047561

    Phone: (681) 247-1260

    Fax: (681) 247-1261

    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: 2024-10-28

PECOS data refreshed: 2026-06-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241028002589IFamily PracticeWVTBD

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.

Verify on CMS Revalidation Lookup Tool

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 60526)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133405327View full group profile
NameSpecialtyState
Nurse PractitionerVA
Nurse PractitionerWV
Family PracticeVA
Nurse PractitionerWV
-WV
Orthopedic SurgeryWV
Nurse PractitionerVA
Physician AssistantFL
Nurse PractitionerWV
Nurse PractitionerWV

Reviews

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Frequently asked questions

What is the registry number for ANDREA AKYEAMPONG?
The registry entry for ANDREA AKYEAMPONG shows NPI 1508401449.
Is ANDREA AKYEAMPONG currently accepting referrals based on NPI status?
Registry metadata lists ANDREA AKYEAMPONG as active.
Which specialty label fits ANDREA AKYEAMPONG?
NPPES ties ANDREA AKYEAMPONG to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to ANDREA AKYEAMPONG?
ANDREA AKYEAMPONG shows a connection to La Grange Park, Illinois in registry-derived data.
Can I export ANDREA AKYEAMPONG's record?
You can download the official NPPES record; we summarize key fields for readability.

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