Individual provider Active NPI

Mwiza Gausi, M.D.

  • Internal Medicine Physician
  • Raleigh, NC
National Provider Identifier
1750688651
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
57.014328 Issued in OH
Practice address
3000 New Bern Ave
Raleigh, NC 27610-1231
Phone
(919) 350-8000
NPI assigned
Feb 12, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101249792 VA
Internal Medicine Physician 207R00000X 57.014328 OH Primary

Addresses

Primary practice location

3000 New Bern Ave
Raleigh, NC 27610-1231

Mailing address

2920 Highwoods Blvd
Raleigh, NC 27604-0010
Phone (877) 498-4490

Other identifiers 1

IdentifierTypeStateIssuer
1750688651MedicaidVA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mgausi767352@direct.novanthealth.org
Direct Messaging Address mgausi248822@directHISP.wakemed.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 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
I20110916000374 VA Practitioner - Internal Medicine 9133390420 Reassigns benefits to 4 organizations
I20190401002312 NC Practitioner - Internal MedicinePractitioner - Hospitalist 9133390420 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians
Wakemed Specialists Group LLCGroup PAC ID 2466788377, 868 clinicians

Practice addresses (Care Compare)

1755 N Mecklenburg Ave
South Hill, VA 23970-4080
Phone (434) 447-3151

200 Hawthorne LN
Charlotte, NC 28204-2515
Phone (704) 384-5416

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-7270

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57.014328OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Thomasville Medical Center, LLC CurrentSince Mar 4, 2024 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
CMH Physician Services, LLC CurrentSince Jun 5, 2016 Accepting new patients
Riverside Physician Services Inc CurrentSince Dec 20, 2016 Accepting new patients
Novant Health Medical Group, LLC Internal Medicine CurrentSince Dec 23, 2023 Accepting new patients
Apogee Medical Group Virginia, PC Internal Medicine CurrentSince Jun 23, 2011 Accepting new patients
Columbus Regional Health Network Internal Medicine CurrentSince Jun 24, 2019 Accepting new patients
CMH Physician Services, LLC Internal Medicine CurrentSince Jun 5, 2016 Accepting new patients
Wakemed Specialists Group, LLC Current Accepting new patients
Scotland Regional Health Network CurrentSince Jun 24, 2019 Accepting new patients
Novant Health Thomasville Medical Center LLC CurrentSince Mar 4, 2024 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Dec 23, 2023 Accepting new patients
Wakemed Specialists Group, LLC CurrentSince Aug 22, 2019 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Jan 1, 2022 Accepting new patients
Riverside Physician Services Inc Current Accepting new patients
MCV Associated Physicians CurrentSince Jul 30, 2024 Accepting new patients
Wakemed Specialists Group LLC CurrentSince Aug 22, 2019 Accepting new patients
Columbus Regional Health Network CurrentSince Jun 24, 2019 Accepting new patients
Scotland Regional Health Network Internal Medicine CurrentSince Jun 24, 2019 Accepting new patients
Riverside Physician Services, Inc. Internal Medicine CurrentSince Dec 20, 2016 Accepting new patients
Columbus Regional Health Network Internal Medicine Past Accepting new patients

Locations (25 of 27)

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

1901 Randolph Rd
Charlotte, NC 28207
Phone (704) 316-2000

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

120 Riverview St
Franklin, NC 28734
Phone (800) 627-5670

190 Hospital Dr
Highlands, NC 28741
Phone (828) 213-9530

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

2920 Highwoods Blvd
Raleigh, NC 27604

10000 Falls of Neuse Rd
Ste 205
Raleigh, NC 27614
Phone (919) 350-1630

288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

500 Jefferson St
Whiteville, NC 28472
Phone (910) 642-1776

612 Jefferson St
#28
Whiteville, NC 28472
Phone (910) 640-4064

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

200 Hospital Dr
Galax, VA 24333
Phone (276) 236-6011

320 Hospital Dr
Martinsville, VA 24112
Phone (276) 666-7200

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

500 J Clyde Morris Blvd
North North, VA 23601
Phone (757) 594-2000

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

Interoperability endpoints

  • Direct secure messaging: mgausi248822@directhisp.wakemed.org
  • Direct secure messaging: mgausi767352@direct.novanthealth.org

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 5

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": "1297468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1750688651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 HIGHWOODS BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276040010",
            "telephone_number": "877-498-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 NEW BERN AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101231",
            "telephone_number": "919-350-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUSI",
        "first_name": "MWIZA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-12",
        "last_updated": "2021-02-24",
        "certification_date": "2020-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101249792",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57.014328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750688651",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgausi767352@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "2351 E 22nd St",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441153111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgausi248822@directHISP.wakemed.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "XML",
            "address_1": "3000 New Bern Ave",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276101231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.