Individual provider Active NPI

Earnest Paul Sims Mawusi, DPM, FACFAS

  • Foot & Ankle Surgery Podiatrist
  • Hampton, VA
National Provider Identifier
1295792562
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103000935 Issued in VA
Practice address
1618 Hardy Cash Dr
Hampton, VA 23666-2400
Phone
(757) 825-5783
Fax
(757) 825-9658
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0103000935 VA Primary

Addresses

Primary practice location

1618 Hardy Cash Dr
Hampton, VA 23666-2400

Mailing address

1618 Hardy Cash Dr
Hampton, VA 23666-2400
Phone (757) 825-5783

Other identifiers 1

IdentifierTypeStateIssuer
9300589MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100604000425 VA Practitioner - Podiatry 8224003116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ambulatory Foot and Ankle Center PCGroup PAC ID 1850356452, 2 clinicians

Practice addresses (Care Compare)

1618 Hardy Cash Dr
Hampton, VA 23666-2400
Phone (757) 825-5783

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue23
Removal of skin lesions1-10
Removal of nail tissue679
Removal or shaving of skin growth526
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0103000935VAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ambulatory Foot & Ankle Center, P.C. Foot & Ankle Surgery CurrentSince Aug 1, 1994 Accepting new patients

Locations

1618 Hardy Cash Dr
Hampton, VA 23666
Phone (757) 825-5783

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1295792562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 HARDY CASH DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662400",
            "telephone_number": "757-825-5783",
            "fax_number": "757-825-9658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 HARDY CASH DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662400",
            "telephone_number": "757-825-5783",
            "fax_number": "757-825-9658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAWUSI",
        "first_name": "EARNEST",
        "middle_name": "PAUL SIMS",
        "name_prefix": "Dr.",
        "credential": "DPM, FACFAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103000935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9300589",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.