Individual provider Active NPI

Ian Angus Powelson, M.D.

  • Plastic Surgery Physician
  • Sacramento, CA
National Provider Identifier
1053739185
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A170626 Issued in CA
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

Updated by the provider on Oct 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221010002668 CA Practitioner - Plastic and Reconstructive SurgeryPractitioner - Critical Care (Intensivists)Practitioner - Hand Surgery 0446542724 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Critical Care (Intensivists), Hand 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
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

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 100Reported as group
Quality
64.8
Promoting interoperability
100
Improvement activities
40
Cost
68.65

Merit-based Incentive Payment System (MIPS)

Final score
90.11 of 100Reported as group
Quality
86.24
Promoting interoperability
100
Improvement activities
40
Cost
78.35

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A170626CAMDPlastic Surgery Physician
D89169MDMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca CurrentSince Oct 1, 2022 Accepting new patients
Regents of the University of California CurrentSince Jul 10, 2023 Accepting new patients
Regents of the University of California CurrentSince Jul 10, 2023 Accepting new patients
Regents of the Univ of Ca Plastic Surgery CurrentSince Oct 1, 2022 Accepting new patients
Shriners Hospitals for Children Plastic Surgery CurrentSince Nov 30, 2022 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Shriners Hospitals for Children CurrentSince Nov 30, 2022 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

  • Direct secure messaging: ipowelson694340@direct.hopkinsmedicine.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.