KEVWE ERUSIAFE – Anesthesiologist Assistant, NPI 1053720862

KEVWE ERUSIAFE is a healthcare provider. based in Atlanta, Georgia. specializing in ANESTHESIOLOGY ASSISTANT. They hold a License No. 7344 (GA). The NPI Number for KEVWE ERUSIAFE is 1053720862

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
KEVWE ERUSIAFE
NPI
1053720862
Phone
(404) 712-2000
Address
1364 CLIFTON RD NE
Enumeration Date
6 August 2014
Last Update Date
31 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4047286812
Graduation Year
2014 (12 years ago)
PAC ID
8820313737
Group Practice PAC ID
3476559782
Professional Enrollment ID
I20150218001193
Address ID
GA303294021AT1821XNEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,383 ANESTHESIOLOGY ASSISTANT in GA

Provider Addresses for KEVWE ERUSIAFE

  • 1364 CLIFTON RD NE

    ATLANTA, GA 303221059

    Phone: (404) 712-2000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-02-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150218001193IAnesthesiology AssistantGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30322)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476559782View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
Internal Medicine, Infectious DiseaseGA
-GA
-GA
Physician AssistantGA
Certified Registered Nurse Anesthetist (Crna)FL
N E U R O L O G YGA
-GA

Reviews

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Frequently asked questions

What is KEVWE ERUSIAFE's NPI number?
KEVWE ERUSIAFE's NPI is 1053720862 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to KEVWE ERUSIAFE?
You should see KEVWE ERUSIAFE as active in CMS-hosted NPPES data.
What kind of doctor is KEVWE ERUSIAFE?
KEVWE ERUSIAFE is associated with Anesthesiologist Assistant in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with KEVWE ERUSIAFE?
Directory geography for KEVWE ERUSIAFE centers on Atlanta, Georgia.
Does KEVWE ERUSIAFE accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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