Ezell Askew Jr., MD
Individual provider Active NPI Interventional Pain Medicine Physician · Lodi, CA
NPI 1699760769 · NPPES record last updated Dec 3, 2015
Key facts
- NPI
- 1699760769
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Interventional Pain Medicine Physician 208VP0014X
- License
- A90462 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Interventional 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 Inc
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
- Adventist Health Lodi Memorial
- Sutter Amador Hospital
- Mark Twain Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.55 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 81.17
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 58 |
| Leg revascularization (restoring blood flow) | 25 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050930000181 | CA | Practitioner - Diagnostic Radiology | 8820041684 | Reassigns benefits to 2 organizations |
| I20241002001809 | CA | Practitioner - Interventional Radiology |
8820041684 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000-07 | NM | MD | Vascular & Interventional Radiology Physician |
| A90462 | CA | MD | Interventional Pain Medicine Physician |
Practice roles (4 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ezell Askew MD Inc | Current |
Accepting new patients | |
| Monterey Bay Vascular, Inc. | Current |
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
801 S Fairmont Ave
Ste 1
Lodi, CA 95240
Phone (209) 603-9217
610 S Fairmont Ave
Lodi, CA 95240
Phone (209) 224-5236
798 Cass St
Ste 201
Monterey, CA 93940
Phone (831) 372-1500
221 E Romie Ln
Salinas, CA 93901
Phone (831) 318-0010
945 Blanco Cir
Ste A
Salinas, CA 93901
Phone (831) 318-0010
242 E Romie Ln
Salinas, CA 93901
Phone (602) 266-9066
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://api.platform.athenahealth.com/16625/brand/1/csg/1/fhir/r4
- ezell.askew.1@16625.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 2000-07 | NM | |
| Interventional Pain Medicine Physician | 208VP0014X | A90462 | CA | Yes |
| 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
Other providers in Lodi, CA
- Arysa LLC
- Arysa, LLC
- Arysa, LLC
- Deanna Aschwanden
- Marcia M Asgarian
- Assist Transport
- Atlantis Lodi Opco LLC
- Crystal Ochoa August
- Navpreet Aujla
- Grit Avellar
All providers in Lodi, CA · Interventional Pain Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.