NPIMap

Individual provider Active NPI

Ibn Ansari, DPM

  • Foot & Ankle Surgery Podiatrist
  • Orangeburg, SC
National Provider Identifier
1346777927
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
714 Issued in SC
Practice address
718 Broughton St
Orangeburg, SC 29115-6648
Phone
(803) 531-2888
NPI assigned
May 15, 2017
Last updated
Mar 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 714 SC Primary
Student in an Organized Health Care Education/Training Program 390200000X NY

Addresses

Primary practice location

718 Broughton St
Orangeburg, SC 29115-6648

Mailing address

718 Broughton St Apt 303
Orangeburg, SC 29115-6648
Phone (803) 256-6776

Other practice location 1

234 W 137th St
New York, NY 10030-2407
Phone (678) 471-5513

Other names 1

  • Muhammad Ansari Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211201001297 SC Practitioner - Podiatry 2668862913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Footcare, LLCGroup PAC ID 4587748652, 27 clinicians

Practice addresses (Care Compare)

150 Highland Ctr Dr
Columbia, SC 29203-9247
Phone (803) 256-6776

6 Barnette Dr
Sumter, SC 29150-8004
Phone (803) 256-6776

901 12TH St
Cayce, SC 29033-3301
Phone (803) 256-6776

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.06 of 100Reported as group
Quality
76.12
Promoting interoperability
84
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue39
Removal of skin lesions1-10
Removal of nail tissue468
Removal or shaving of skin growth286
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Footcare, LLC Foot & Ankle Surgery CurrentSince Oct 1, 2024 Accepting new patients
Stride Pharmacy Past Accepting new patients

Locations

6 Barnette Dr
Sumter, SC 29150
Phone (803) 773-3391

Interoperability endpoints

  • Direct secure messaging: ibn.ansari.1@27654.direct.athenahealth.com
  • Direct secure messaging: mansari447598@direct.musc.edu

Organizations & group practices 2

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 10

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": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1346777927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 BROUGHTON ST APT 303",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291156648",
            "telephone_number": "803-256-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 BROUGHTON ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291156648",
            "telephone_number": "803-531-2888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 W 137th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100302407",
            "country_code": "US",
            "telephone_number": "678-471-5513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANSARI",
        "first_name": "IBN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-15",
        "last_updated": "2024-03-27",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "SC",
            "license": "714",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MUHAMMAD",
            "last_name": "ANSARI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orangeburg, SC

Sources for this page

Verify at the official NPI Registry.