Active NPI
Ian Angus Powelson, M.D.
- Plastic Surgery Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- A170626
- Practice address
- 2335 Stockton Blvd FL 6
Sacramento, CA 95817-2201 - Phone
- (916) 734-7289
- NPI assigned
- Apr 5, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | A170626 | CA | |
| Surgery Physician | 208600000X | D89169 | MD | |
| Surgical Critical Care Physician | 2086S0102X | A170626 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Plastic Surgery Physician | 208200000X | A170626 | CA | Primary |
Addresses
Primary practice location
2335 Stockton Blvd FL 6
Sacramento, CA 95817-2201
Mailing address
2335 Stockton Blvd FL 6
Sacramento, CA 95817-2201
Phone (916) 734-7289
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- University of Michigan Medical School, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2221 Stockton Blvd
Sacramento, CA 95817-1418
Phone (916) 734-3761
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.15 of 100
- Quality
- 64.8
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.65
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.11 of 100
- Quality
- 86.24
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.35
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A170626 | CA | MD | Plastic Surgery Physician |
| D89169 | MD | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the Univ of Ca | Plastic Surgery | Current | Accepting new patients |
| Shriners Hospitals for Children | Plastic Surgery | Current | Accepting new patients |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Shriners Hospitals for Children | Past | Accepting new patients | |
| Regents of the Univ of Ca | Surgery | Past | Accepting new patients |
| Regents of the Univ of Ca | Past | Accepting new patients | |
| Regents of the Univ of Ca | Past | Accepting new patients |
Locations
4868 X St
Ste 3B
Sacramento, CA 95817
Phone (916) 703-1503
2425 Stockton Blvd
Sacramento, CA 95817
Phone (916) 453-2000
3301 C St
Ste 1100
Sacramento, CA 95816
Phone (916) 734-7844
4868 X St
Sacramento, CA 95817
Phone (916) 703-1503
2221 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-2680
4868 X St
Ste 4B
Sacramento, CA 95817
4860 Y St
Ste 200
Sacramento, CA 95817
Phone (916) 734-3761
3301 C St
Sacramento, CA 95816
Phone (916) 734-6111
1535 River Park Dr
Ste 2000
Sacramento, CA 95815
Phone (916) 286-1010
Interoperability endpoints
- ipowelson694340@direct.hopkinsmedicine.org
- ipowelson675729@hisp.ehr.sutterhealth.org
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Maternal & Fetal Medicine Physician
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- NPI 1013906973
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1952998973
-
- Pediatric Orthopaedic Surgery Physician
- Sacramento, CA
- NPI 1679915565
-
- Plastic Surgery Physician
- Sacramento, CA
- NPI 1275526337
-
- Diagnostic Radiology Physician
- Sacramento, CA
- NPI 1477546406
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1962482513
-
- Orthopaedic Surgery Physician
- Philadelphia, PA
- NPI 1275271462
Plastic Surgery
-
- Clinic/Center
- Aiea, HI
- NPI 1568299857
-
- Surgery Physician
- Sacramento, CA
- NPI 1427041698
-
- Pulmonary Disease Physician
- Sacramento, CA
- NPI 1437142692
-
- Trauma Surgery Physician
- Sacramento, CA
- NPI 1568455590
-
- Orthopaedic Surgery Physician
- Lexington, KY
- NPI 1700223559
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1710918545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665014400000",
"number": "1053739185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2335 STOCKTON BLVD FL 6",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172201",
"telephone_number": "916-734-7289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2335 STOCKTON BLVD FL 6",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172201",
"telephone_number": "916-734-7289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELSON",
"first_name": "IAN",
"middle_name": "ANGUS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-05",
"last_updated": "2022-10-06",
"certification_date": "2022-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "2082S0105X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": "CA",
"license": "A170626",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MD",
"license": "D89169",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "CA",
"license": "A170626",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CA",
"license": "A170626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.