Individual provider Active NPI

Darshankumar Ashwinbhai Dave, MD

  • Neurology Physician
  • Charleston, WV
National Provider Identifier
1033155437
Registry record updated Jan 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
21117 Issued in WV
Practice address
3100 Maccorkle Ave SE
Suite 802
Charleston, WV 25304
Phone
(304) 343-4400
Fax
(304) 345-5005
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 21117 WV Primary

Addresses

Primary practice location

3100 Maccorkle Ave SE
Suite 802
Charleston, WV 25304

Mailing address

3100 Maccorkle Ave SE Ste 411
Charleston, WV 25304-1230
Phone (304) 343-4400

Other identifiers 1

IdentifierTypeStateIssuer
1841796000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040107000532 WV Practitioner - Neurology 0446159651 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neurology and Headache Clinic PLLCGroup PAC ID 4688715451, 4 clinicians
Charleston Area Medical Center IncGroup PAC ID 3375441637, 969 clinicians

Practice addresses (Care Compare)

3100 Maccorkle Ave SE
Suite 411
Charleston, WV 25304-1230
Phone (304) 343-4400

501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-5432

Hospital & facility affiliations

  • Charleston Area Medical Center Hospital, Charleston, WV, CCN 510022
  • Thomas Memorial Hospital Hospital, South Charleston, WV, CCN 510029
  • Logan Regional Medical Center Hospital, Logan, WV, CCN 510048
  • Boone Memorial Hospital Hospital, Madison, WV, CCN 511313
  • Montgomery General Hospital Hospital, Montgomery, WV, CCN 511318

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.44 of 100Reported as individual
Quality
90
Promoting interoperability
79
Improvement activities
40
Cost
80.02

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology & Headache Clinic PLLC Neurology CurrentSince Dec 14, 2009 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Aug 27, 2003 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Aug 27, 2003 Accepting new patients

Locations

3100 Maccorkle Ave SE
Ste 411
Charleston, WV 25304
Phone (304) 343-4400

3100 Maccorkle Ave SE
Ste 802
Charleston, WV 25304
Phone (304) 343-4400

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IFBCBD/Endpoint/IFBCBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/CEFFAA

Organizations & group practices 8

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.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516924800000",
    "number": "1033155437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 MACCORKLE AVE SE STE 411",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041230",
            "telephone_number": "304-343-4400",
            "fax_number": "304-345-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 MACCORKLE AVE SE",
            "address_2": "SUITE 802",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "25304",
            "telephone_number": "304-343-4400",
            "fax_number": "304-345-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVE",
        "first_name": "DARSHANKUMAR",
        "middle_name": "ASHWINBHAI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2018-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WV",
            "license": "21117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841796000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.