Individual provider Active NPI

Magdy Issa, DPM

  • Foot & Ankle Surgery Podiatrist
  • West Columbia, SC
National Provider Identifier
1548754930
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
759 Issued in NC
Practice address
508 Meeting St
West Columbia, SC 29169-7535
Phone
(727) 796-6900
Fax
(727) 669-8417
NPI assigned
Jun 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 283676 KY
Foot & Ankle Surgery Podiatrist 213ES0103X 768 SC
Foot & Ankle Surgery Podiatrist 213ES0103X 759 NC Primary

Addresses

Primary practice location

508 Meeting St
West Columbia, SC 29169-7535

Mailing address

15114 Torrence Branch Rd
Charlotte, NC 28278-5829
Phone (515) 745-3469

Other practice location 1

6021 142nd Ave N
Clearwater, FL 33760-2822
Phone (727) 431-4850

Other practice location 2

15114 Torrence Branch Rd
Charlotte, NC 28278-5829
Phone (515) 745-3469

Other identifiers 1

IdentifierTypeStateIssuer
PD7683MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240307000757 SC Practitioner - Podiatry 1759795578 Reassigns benefits to 1 organization
I20240926001754 NC Practitioner - Podiatry 1759795578

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.67 of 100Reported as group
Quality
81.47
Promoting interoperability
100
Improvement activities
40
Cost
81.83

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
283676KYMDFoot & Ankle Surgery Podiatrist
768SCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Solutions of America, Inc. CurrentSince Oct 21, 2025 Accepting new patients

Locations

13600 Icot Blvd
Clearwater, FL 33760
Phone (727) 796-6900

6021 142nd Ave N
Clearwater, FL 33760
Phone (727) 431-4850

Interoperability endpoints

  • Direct secure messaging: missa@khpi-fl1.direct.office.nextgen.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1548754930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15114 TORRENCE BRANCH RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282785829",
            "telephone_number": "515-745-3469",
            "fax_number": "606-218-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 MEETING ST",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291697535",
            "telephone_number": "727-796-6900",
            "fax_number": "727-669-8417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6021 142nd Ave N",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337602822",
            "country_code": "US",
            "telephone_number": "727-431-4850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15114 Torrence Branch Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282785829",
            "country_code": "US",
            "telephone_number": "515-745-3469",
            "fax_number": "606-218-7506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISSA",
        "first_name": "MAGDY",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-19",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KY",
            "license": "283676",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "SC",
            "license": "768",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PD7683",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.