NPIMap

Individual provider Active NPI

Victor Owusu-Yaw, M.D.

  • Neurology Physician
  • Danville, VA
National Provider Identifier
1669518205
Registry record updated Oct 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
0101051774 Issued in VA
Practice address
129 Broad St # B
Danville, VA 24541-2301
Phone
(434) 791-2600
Fax
(434) 792-5347
NPI assigned
Jan 30, 2007
Last updated
Oct 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 0101051774 VA Primary

Addresses

Primary practice location

129 Broad St # B
Danville, VA 24541-2301

Mailing address

129 Broad St # B
Danville, VA 24541-2301
Phone (434) 791-2600

Other identifiers 5

IdentifierTypeStateIssuer
080464OtherVAANTHEM BLUE CROSS BLUE SH
890607AMedicaidNC
46215MedicaidVA
006018947MedicaidVA
70219OtherSOUTHERN HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20100830000530 VA Practitioner - Neurology 8628095080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

129 Broad St
Suite B
Danville, VA 24541-2337
Phone (434) 791-2600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.87 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
72.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101051774VAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Danville Neurology Associates, Inc. Neurology CurrentSince Oct 15, 1996 Accepting new patients
Southside Neurosurgical Associates Past Accepting new patients

Locations

129 Broad St
Ste B
Danville, VA 24541
Phone (434) 791-2600

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664668800000",
    "number": "1669518205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 BROAD ST # B",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245412301",
            "telephone_number": "434-791-2600",
            "fax_number": "434-792-5347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 BROAD ST # B",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245412301",
            "telephone_number": "434-791-2600",
            "fax_number": "434-792-5347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWUSU-YAW",
        "first_name": "VICTOR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2022-10-02",
        "certification_date": "2022-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101051774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "080464",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890607A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46215",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006018947",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "70219",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

Verify at the official NPI Registry.