Individual provider Active NPI

Andrew B Powell, DPM

  • Foot & Ankle Surgery Podiatrist
  • St George, UT
National Provider Identifier
1861499568
Registry record updated Jan 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
373663-0501 Issued in UT
Practice address
754 South Main
Suite 3
St George, UT 84770-5504
Phone
(435) 628-2671
Fax
(435) 634-1601
NPI assigned
Jul 7, 2005
Last updated
Jan 13, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 373663-0501 UT
Podiatrist 213E00000X 0010 NV
Foot & Ankle Surgery Podiatrist 213ES0103X 373663-0501 UT Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 0010 NV

Addresses

Primary practice location

754 South Main
Suite 3
St George, UT 84770-5504

Mailing address

754 South Main
Suite 3
St George, UT 84770-5504
Phone (435) 628-2671

Other identifiers 1

IdentifierTypeStateIssuer
002188023MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040709000404 UT Practitioner - Podiatry 0749268415 Reassigns benefits to 1 organization
I20040913000231 NV Practitioner - Podiatry 0749268415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Foot and Ankle Institute LLCGroup PAC ID 4082607023, 8 clinicians

Practice addresses (Care Compare)

340 Falcon Ridge Pkwy
Suite a
Mesquite, NV 89027-8850
Phone (702) 346-7678

754 S Main St
Suite 3
St George, UT 84770-5505
Phone (435) 628-2671

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.53 of 100Reported as individual
Quality
81.06
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue131
Removal of skin lesions50
Removal of nail tissue905
Removal or shaving of skin growth643

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
373663-0501UTMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
The Foot & Ankle Institute LLC Podiatrist CurrentSince Jul 9, 2004 Accepting new patients
South Main Surgery Center Inc CurrentSince Oct 8, 1991 Accepting new patients
Paiute Indian Tribe of Utah Past Accepting new patients
Paiute Indian Tribe of Utah Past Accepting new patients

Locations

340 Falcon Ridge Pkwy
#300A
Mesquite, NV 89027
Phone (702) 346-7678

340 Falcon Ridge Pkwy
Bldg 300
Mesquite, NV 89027
Phone (702) 346-5202

754 S Main St
Ste 3
St George, UT 84770
Phone (435) 628-2671

Interoperability endpoints

  • Direct secure messaging: drpowell@faaii-ut.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/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 2

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389571200000",
    "number": "1861499568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 SOUTH MAIN",
            "address_2": "SUITE 3",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847705504",
            "telephone_number": "435-628-2671",
            "fax_number": "435-634-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 SOUTH MAIN",
            "address_2": "SUITE 3",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847705504",
            "telephone_number": "435-628-2671",
            "fax_number": "435-634-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "ANDREW",
        "middle_name": "B",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2014-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "UT",
            "license": "373663-0501",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NV",
            "license": "0010",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "373663-0501",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NV",
            "license": "0010",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002188023",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.