Individual provider Active NPI

Mayya Kawar

  • Emergency Medicine Physician
  • Christiansted, VI
National Provider Identifier
1073807954
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
199486 Issued in PA
Practice address
4100 Sion Farm Shopp Ctr Ste 5&6
Christiansted, VI 00820-4433
Phone
(340) 772-0260
NPI assigned
Jun 8, 2011
Last updated
Dec 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 199486 PA Primary

Addresses

Primary practice location

4100 Sion Farm Shopp Ctr Ste 5&6
Christiansted, VI 00820-4433

Mailing address

PO Box 1198
Frederiksted, VI 00841-1198

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI
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
I20190508002334 VI Practitioner - Emergency Medicine 6901148154 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Georgetown University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frederiksted Health Care, Inc.Group PAC ID 7911818778, 11 clinicians

Practice addresses (Care Compare)

516 Strand St
Frederiksted, VI 00840-3533

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
199486PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Plessen Medical Group, LLC CurrentSince Jan 1, 2020 Accepting new patients
Frederiksted Health Care, Inc. Current Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Nov 6, 2018 Accepting new patients
Plessen Medical Group, LLC CurrentSince Jan 1, 2020 Accepting new patients
Prohealth Urgent Care LLC CurrentSince Jul 10, 2024 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Nov 6, 2018 Accepting new patients
Drexel University College of Medicine Past Accepting new patients

Locations

6040 Castle Coakley
Christiansted, VI 00820
Phone (305) 281-0684

516 Strand St
Frederiksted, VI 00840
Phone (340) 772-1992

4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423

Interoperability endpoints

  • Direct secure messaging: mayya.kawar.p1@direct.frederikstedhealthvi.nextgenshare.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1073807954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1198",
            "city": "FREDERIKSTED",
            "state": "VI",
            "postal_code": "008411198",
            "fax_number": "866-408-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 SION FARM SHOPP CTR STE 5&6",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008204433",
            "telephone_number": "340-772-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAWAR",
        "first_name": "MAYYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "199486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansted, VI

Sources for this page

Verify at the official NPI Registry.