Individual provider Active NPI

Komi Mawussi

  • Certified Registered Nurse Anesthetist
  • Virginia Beach, VA
National Provider Identifier
1275981748
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
00241734667 Issued in VA
Practice address
6271 Drew Dr
Virginia Beach, VA 23464-4636
Phone
(757) 214-3333
NPI assigned
May 25, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 00241734667 VA Primary

Addresses

Primary practice location

6271 Drew Dr
Virginia Beach, VA 23464-4636

Mailing address

6271 Drew Dr
Virginia Beach, VA 23464-4636
Phone (757) 214-3333

Other names 1

  • Mr. Komi Mawussi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160919001498 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9739476714 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SMG Anesthesia Specialists LLCGroup PAC ID 6305081118, 501 clinicians

Practice addresses (Care Compare)

19455 Deerfield Ave
Suite 204
Leesburg, VA 20176-8102
Phone (703) 724-9950

500 J Clyde Morris Blvd
Newport News, VA 23601-1929
Phone (757) 594-2000

600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 388-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.76 of 100Reported as group
Quality
78.69
Improvement activities
40
Cost
74.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
00241734667VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sylmass Health LLC Current Accepting new patients
American Anesthesiology of Virginia, PC CurrentSince Nov 11, 2021 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 13, 2017 Accepting new patients
Virginia Anesthesia and Perioperative Care Specialists LLC CurrentSince May 9, 2016 Accepting new patients
American Anesthesiology of Virginia PC CurrentSince Nov 11, 2021 Accepting new patients
Commonwealth Anesthesia Associates, P.C. CurrentSince Aug 1, 2016 Accepting new patients
SMG Anesthesia Specialists LLC CurrentSince Jun 25, 2018 Accepting new patients
Premier Anesthesia of Virginia LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 19, 2020 Accepting new patients
Northstar Anesthesia of Virginia, LLC CurrentSince Nov 1, 2022 Accepting new patients
Mary Washington Healthcare Specialty Services LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
Ambulatory Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2022 Accepting new patients
Atlantic Anesthesia, Inc CurrentSince May 3, 2022 Accepting new patients
Dogwood Anesthesia Providers, LLC CurrentSince Apr 1, 2025 Accepting new patients
Mawussi Komi Past Accepting new patients

Locations

844 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6746

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

541 Sunset Ln
Ste 201
Culpeper, VA 22701
Phone (540) 829-0700

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

1201 Sam Perry Blvd
Ste 101
Fredericksburg, VA 22401
Phone (540) 741-4614

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

760 McGuire Pl
Fl 2
Newport News, VA 23601
Phone (757) 591-2260

830 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-6000

600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

10800 Midlothian Tpke
Ste 265
North Chesterfield, VA 23235
Phone (804) 594-1383

500 J Clyde Morris Blvd
North North, VA 23601
Phone (757) 594-2000

200 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 765-5000

6801 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 523-8600

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

101 Hospital Center Blvd
Stafford, VA 22554
Phone (540) 741-3340

134 Business Park Dr
Virginia Beach, VA 23462
Phone (757) 473-0044

2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000

1060 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 395-2323

500 Hospital Dr
Warrenton, VA 20186
Phone (540) 316-5000

100 Sentara Cir
Williamsburg, VA 23188
Phone (678) 690-7826

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

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": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1275981748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6271 DREW DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234644636",
            "telephone_number": "757-214-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6271 DREW DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234644636",
            "telephone_number": "757-214-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAWUSSI",
        "first_name": "KOMI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "00241734667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KOMI",
            "last_name": "MAWUSSI",
            "prefix": "MR.",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.