IMMANUEL AMISSAH (MD) – Family Medicine Physician, NPI 1114066115
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for IMMANUEL AMISSAH (MD)
PO BOX 35380
LAS VEGAS, NV 891335380
Phone: (702) 877-5199
Type: Mailing
540 N NELLIS BLVD
LAS VEGAS, NV 891105368
Phone: (702) 877-5199
Type: Location
102 WOODMONT BLVD STE 600
NASHVILLE, TN 372055250
Phone: (888) 987-1151
Type: Mailing
9852-54 LITTLE ROAD
NEW PORT RICHEY, FL 34654
Phone: (727) 425-6902
Fax: (727) 425-6759
Type: Location
540 N Nellis Blvd
Las Vegas, NV 891105368
Phone: (702) 877-5199
Type: Location
18900 N TAMIAMI TRL
STE 9
NORTH FORT MYERS, FL 339037307
Phone: (239) 567-1000
Fax: (239) 567-1008
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $69.
Total Amount is formed as General ($69) + Research ($0) + Ownership ($0) = $69.
Last reported payment date: 2024-07-12 • Largest payer in this snapshot: Exact Sciences Corporation ($48).
Total Amount
$69
General + Research + Ownership
Payments
3
Total payment records
General Amount
$69
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exact Sciences Corporation | $48 |
| Dexcom, Inc. | $21 |
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: 2021-10-21
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 |
|---|---|---|---|---|
| I20211021003177 | I | Family Practice | FL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 229 | 92 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 100 | 61 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 79 | 62 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 26 | 26 | $0 |
Insurance plans in this area (ZIP 89133)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | TX | |
| Internal Medicine | NV | |
| Physician Assistant | NV | |
| - | KY | |
| Nurse Practitioner | NV | |
| - | NV | |
| Nurse Practitioner | NV | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NV | |
| Nurse Practitioner | IL | |
| - | NV |
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