Active NPI
Ian C. Herskowitz, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 34157
- Practice address
- 820 Saint Sebastian Way Ste 4a
Augusta, GA 30901 - Phone
- (706) 774-5995
- Fax
- (706) 774-5996
- NPI assigned
- Jan 24, 2007
- Last updated
- Oct 23, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 34157 | GA | Primary |
Addresses
Primary practice location
820 Saint Sebastian Way Ste 4a
Augusta, GA 30901
Mailing address
PO Box 1705
Augusta, GA 30903-1705
Phone (706) 774-7760
Other practice location 1
1303 Dantignac St
Suite 1200
Augusta, GA 30901-2775
Phone (706) 774-7760
Other practice location 2
4321 University Pkwy Ste 101
Evans, GA 30809-3093
Phone (706) 774-5995
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G34157 | Medicaid | SC | |
| 00713292A | Medicaid | GA | |
| 110051869 | Other | RAILROAD MEDICARE | |
| 11D0687551 | Other | CLIA NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- 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
- Internal Medicine
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
51 Hospital Rd
Newnan, GA 30263-1209
Phone (770) 251-5540
Hospital & facility affiliations
- Piedmont Augusta Hospital
- University McDuffie County Regional Medical Center
- Emanuel Medical Center
- Aiken Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34157 | GA | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Providers LLC | Current | Accepting new patients |
Locations
1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210
4321 University Pkwy
Ste 101
Evans, GA 30809
Phone (706) 774-7400
51 Hospital Rd
Newnan, GA 30263
Phone (770) 251-5540
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1548273592
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Emanuel Medical Center
- Rural Acute Care Hospital
- Swainsboro, GA
- NPI 1235129214
-
dba Piedmont Augusta Hospital
- General Acute Care Hospital
- Augusta, GA
- NPI 1588665566
-
dba Piedmont McDuffie Hospital
- General Acute Care Hospital
- Thomson, GA
- NPI 1982600540
-
dba Wound Care Center
- General Acute Care Hospital
- Aiken, SC
- NPI 1447437157
-
dba Aiken Regional Medical Center
- General Acute Care Hospital
- Aiken, SC
- NPI 1467448498
-
dba Aiken Regional Medical Centers Neuro Physician Services
- Neurological Surgery Physician
- Aiken, SC
- NPI 1942610928
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540252800000",
"number": "1295880680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1705",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309031705",
"telephone_number": "706-774-7760",
"fax_number": "706-774-7766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 SAINT SEBASTIAN WAY STE 4A",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "30901",
"telephone_number": "706-774-5995",
"fax_number": "706-774-5996"
}
],
"practiceLocations": [
{
"address_1": "1303 Dantignac St",
"address_2": "Suite 1200",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309012775",
"country_code": "US",
"telephone_number": "706-774-7760",
"fax_number": "706-774-7766",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4321 University Pkwy Ste 101",
"address_purpose": "LOCATION",
"city": "Evans",
"state": "GA",
"postal_code": "308093093",
"country_code": "US",
"telephone_number": "706-774-5995",
"fax_number": "706-774-5996",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERSKOWITZ",
"first_name": "IAN",
"middle_name": "C.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2018-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "GA",
"license": "34157",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G34157",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00713292A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110051869",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA NUMBER",
"identifier": "11D0687551",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.