Individual provider Active NPI

Ezell Askew Jr., MD

  • Interventional Pain Medicine Physician
  • Lodi, CA
National Provider Identifier
1699760769
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
A90462 Issued in CA
Practice address
801 S Fairmont Ave
Suite 1
Lodi, CA 95240-5106
Phone
(209) 603-9217
Fax
(209) 594-1665
NPI assigned
Sep 15, 2005
Last updated
Dec 3, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 2000-07 NM
Interventional Pain Medicine Physician 208VP0014X A90462 CA Primary
Diagnostic Radiology Physician 2085R0202X 2000-07 NM

Addresses

Primary practice location

801 S Fairmont Ave
Suite 1
Lodi, CA 95240-5106

Mailing address

801 S Fairmont Ave
Suite 1
Lodi, CA 95240-5106
Phone (209) 603-9217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050930000181 CA Practitioner - Diagnostic Radiology 8820041684 Reassigns benefits to 2 organizations
I20241002001809 CA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 8820041684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Uniformed Services Uhs Fe Hebert School of Med, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Monterey Bay Vascular IncGroup PAC ID 3779970249, 3 clinicians

Practice addresses (Care Compare)

221 E Romie LN
Salinas, CA 93901-3127
Phone (831) 318-0010

242 E Romie LN
Salinas, CA 93901-3128
Phone (831) 318-0010

3275 Aptos Rancho Rd
Aptos, CA 95003-3971
Phone (831) 318-0010

610 S Fairmont Ave
Lodi, CA 95240-3835
Phone (209) 224-5236

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.55 of 100Reported as individual
Quality
90
Improvement activities
40
Cost
81.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal58
Leg revascularization (restoring blood flow)25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2000-07NMMDDiagnostic Radiology Physician
A90462CAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ezell Askew MD Inc CurrentSince Apr 1, 2015 Accepting new patients
Monterey Bay Vascular, Inc. CurrentSince Oct 1, 2024 Accepting new patients
New Mexico Oncology Hematology Consultants, LTD. Past Accepting new patients
Radiological Associates of Sacramento Medical Group Inc Diagnostic Radiology Past Accepting new patients

Locations

3275 Aptos Rancho Rd
Ste 1A
Aptos, CA 95003
Phone (831) 318-0010

610 S Fairmont Ave
Lodi, CA 95240
Phone (209) 224-5236

801 S Fairmont Ave
Ste 1
Lodi, CA 95240
Phone (209) 603-9217

798 Cass St
Ste 201
Monterey, CA 93940
Phone (831) 372-1500

221 E Romie Ln
Salinas, CA 93901
Phone (831) 318-0010

242 E Romie Ln
Salinas, CA 93901
Phone (602) 266-9066

945 Blanco Cir
Ste A
Salinas, CA 93901
Phone (831) 318-0010

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ezell.askew.1@16625.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16625/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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 3

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": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449100800000",
    "number": "1699760769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S FAIRMONT AVE",
            "address_2": "SUITE 1",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952405106",
            "telephone_number": "209-603-9217",
            "fax_number": "209-594-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S FAIRMONT AVE",
            "address_2": "SUITE 1",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952405106",
            "telephone_number": "209-603-9217",
            "fax_number": "209-594-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASKEW",
        "first_name": "EZELL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2015-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NM",
            "license": "2000-07",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A90462",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NM",
            "license": "2000-07",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, CA

Sources for this page

Verify at the official NPI Registry.