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Individual provider Active NPI

Isabell Wamuhu Mburu

  • Medical Physician Assistant
  • Charleston, SC
National Provider Identifier
1306198957
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA07968 Issued in TX
Practice address
109 Bee St
Charleston, SC 29401-5703
Phone
(843) 577-5011
NPI assigned
Oct 5, 2012
Last updated
Oct 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA07968 TX Primary

Addresses

Primary practice location

109 Bee St
Charleston, SC 29401-5703

Mailing address

9753 Transplanter Cir
Ladson, SC 29456-6768
Phone (832) 289-4245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140730002391 TX Practitioner - Physician Assistant 7810113644 Reassigns benefits to 1 organization
I20200610003041 SC Practitioner - Physician Assistant 7810113644 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
24 On Physicians of SC LLCGroup PAC ID 5890127344, 136 clinicians
Southeastern Hospitalist Services PCGroup PAC ID 3476855420, 301 clinicians
Beaufort County Memorial HospitalGroup PAC ID 7810809365, 197 clinicians

Practice addresses (Care Compare)

100 Callen Blvd
Summerville, SC 29486-2807
Phone (854) 529-3100

316 Calhoun St
Charleston, SC 29401-1113
Phone (843) 724-2901

501 Robertson Blvd
Walterboro, SC 29488-2787
Phone (843) 782-2000

809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 692-1000

955 Ribaut Rd
Beaufort, SC 29902-5441
Phone (843) 522-5983

989 Ribaut Rd
Beaufort, SC 29902-5472

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Beaufort County Memorial Hospital CurrentSince May 29, 2025 Accepting new patients
Beaufort County Memorial Hospital CurrentSince May 29, 2025 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Egret Inpatient Services, PLLC Past Accepting new patients
Nhue Ho MD PLLC PastSince Nov 1, 2015 Accepting new patients
Corphysicians LLC Past Accepting new patients

Locations

955 Ribaut Rd
#C
Beaufort, SC 29902

989 Ribaut Rd
Ste 103
Beaufort, SC 29902
Phone (843) 522-5351

Organizations & group practices 9

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 5

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": "1349395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1306198957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9753 TRANSPLANTER CIR",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294566768",
            "telephone_number": "832-289-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BEE ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294015703",
            "telephone_number": "843-577-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBURU",
        "first_name": "ISABELL",
        "middle_name": "WAMUHU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-05",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA07968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.