Israel Ernesto Acosta Sanchez, M.D.
Individual provider Active NPI Pulmonary Disease Physician · Augusta, GA
NPI 1831540426 · NPPES record last updated Jul 25, 2023
Key facts
- NPI
- 1831540426
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- 95065 (GA)
- Practice address
- 1120 15TH St
Augusta, GA 30912-7408 - Phone
- (706) 721-8623
- Fax
- (706) 721-1459
- NPI assigned
- Jun 25, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellstar Medical Group LLC
Practice addresses (Care Compare)
1120 15TH St
Augusta, GA 30912-0004
Phone (706) 721-8623
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
989 Saint Sebastian Way
Augusta, GA 30912-0004
Phone (706) 721-2171
Hospital & facility affiliations
- Wellstar MCG Health, Affiliated With Med Col
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- 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 |
|---|---|---|---|---|
| I20230504002434 | GA | Practitioner - Pulmonary Disease | 8921426966 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Au Medical Associates Inc | Current |
Accepting new patients | |
| Au Medical Associates Inc | Current |
Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current |
Accepting new patients | |
| Wellstar Cardiovascular Medicine, LLC | Past | Accepting new patients | |
| Au Medical Center, Inc | Past | Accepting new patients |
Locations
1120 15th St
Augusta, GA 30912
Phone (706) 721-3873
1120 15th St
Ste BI1056
Augusta, GA 30912
Phone (706) 721-2785
1120 15th St
Ste OR6000
Augusta, GA 30912
Phone (706) 721-3813
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
Interoperability endpoints
- iacostasanchez68105@uihealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 95065 | GA | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1120 15TH St
Augusta, GA 30912-7408
Mailing address
1120 15TH St Ste Or6000
Augusta, GA 30912-0004
Phone (706) 721-3813
Other practice location 1
6850 Lake Nona Blvd
Orlando, FL 32827-7408
Phone (407) 266-1106
Other providers in Augusta, GA
- Accident Centers of Augusta
- Accucare Medical Equipment LLC
- Jose H Acevedo
- Lay Acharya
- Achelois, LLC
- Ashley Nicole Acosta
- Ciera Acree
- Acute Care Consultants, Inc
- Dionne Joy Adair I
- Steven Moore Adair
All providers in Augusta, GA · Pulmonary Disease Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2023. 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.