Active NPI
Nova Michele Foster, MD
- Surgery Physician
- Carbondale, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036.134717
- Practice address
- 1237 E Main St
Suite C
Carbondale, IL 62901-3148 - Phone
- (618) 457-2281
- Fax
- (618) 529-0573
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A65913 | CA | |
| Surgery Physician | 208600000X | 036.134717 | IL | Primary |
Addresses
Primary practice location
1237 E Main St
Suite C
Carbondale, IL 62901-3148
Mailing address
PO Box 1105
Indianapolis, IN 46206-1105
Phone (618) 457-5200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A659130 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Vanderbilt University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3838 N Campbell Ave
BLDG 1
Tucson, AZ 85719-1454
Phone (520) 694-2873
Hospital & facility affiliations
- Banner - University Medical Center Tucson Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.34 of 100
- Quality
- 74.56
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 43 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.134717 | IL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner-University Medical Group | Current | Accepting new patients | |
| Banner-University Medical Group | Current | Accepting new patients |
Locations
3533 Canyon de Flores
Ste C
Sierra Vista, AZ 85650
Phone (520) 458-2000
2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471
1625 N Campbell Ave
Tucson, AZ 85719
1891 W Orange Grove Rd
Bldg 1
Tucson, AZ 85704
Phone (520) 694-2873
3838 N Campbell Ave
Tucson, AZ 85719
Phone (520) 694-2873
3838 N Campbell Ave
Bldg 1
Tucson, AZ 85719
Phone (520) 694-2873
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1508809427
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1922820935
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1265820179
-
- Nutrition Education Nutritionist
- Tucson, AZ
- NPI 1861102881
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397779200000",
"number": "1902829567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1105",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462061105",
"telephone_number": "618-457-5200",
"fax_number": "618-351-6486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1237 E MAIN ST",
"address_2": "SUITE C",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629013148",
"telephone_number": "618-457-2281",
"fax_number": "618-529-0573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "NOVA",
"middle_name": "MICHELE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2014-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A65913",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036.134717",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A659130",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carbondale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.