Individual provider Active NPI

Adnan Alghadban, M.D.

  • Neurology Physician
  • Bridgeport, WV
National Provider Identifier
1043323199
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
21350 Issued in WV
Practice address
527 Medical Park Drive, Ste. 204
Associated Specialists, Inc.
Bridgeport, WV 26330
Phone
(304) 933-3800
Fax
(304) 933-3814
NPI assigned
Aug 15, 2006
Last updated
Sep 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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 21350 WV Primary

Addresses

Primary practice location

527 Medical Park Drive, Ste. 204
Associated Specialists, Inc.
Bridgeport, WV 26330

Mailing address

527 Medical Park Drive, Ste. 204
Associated Specialists, Inc.
Bridgeport, WV 26330
Phone (304) 933-3800

Other practice location 1

1200 J D Anderson Dr
Morgantown, WV 26505-3494
Phone (304) 598-1200

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
I20040513000590 WV Practitioner - NeurologyPractitioner - Other (Physician)Practitioner - Sleep Medicine 7315832284 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Sleep Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Specialists, IncGroup PAC ID 8022922699, 3 clinicians

Practice addresses (Care Compare)

1200 J D Anderson Dr
Suite 301
Morgantown, WV 26505-3494
Phone (304) 598-1996

527 Medical Park Dr
Bridgeport, WV 26330-9009
Phone (304) 933-3800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mon Health Marion Neighborhood Hospital, Inc. CurrentSince Aug 9, 2023 Accepting new patients
Associated Specialists, Inc. CurrentSince Jan 1, 2004 Accepting new patients
Monongalia County General Hospital Company CurrentSince Jul 23, 2023 Accepting new patients
Stonewall Jackson Memorial Hospital Company CurrentSince Sep 23, 2023 Accepting new patients
Stonewall Jackson Memorial Hospital Company CurrentSince Sep 23, 2023 Accepting new patients
Mon Health Marion Neighborhood Hospital, Inc. PastSince Apr 25, 2021 Accepting new patients

Locations

1513 Johnson Ave
Bridgeport, WV 26330
Phone (304) 842-5864

527 Medical Park Dr
Ste 204
Bridgeport, WV 26330
Phone (304) 623-5711

100 Main St
Farmington, WV 26571
Phone (304) 825-2063

150 Memorial Dr
Kingwood, WV 26537
Phone (304) 329-4701

1200 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-1460

1200 J D Anderson Dr
Ste 301
Morgantown, WV 26505
Phone (304) 598-1996

230 Hospital Plz
Weston, WV 26452
Phone (304) 269-8000

140 Middletown Loop
White Hall, WV 26554
Phone (304) 333-1150

Interoperability endpoints

  • Direct secure messaging: adnan.alghadban@asidrs.directbygreenway.com

Organizations & group practices 7

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 6

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1043323199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 MEDICAL PARK DRIVE, STE. 204",
            "address_2": "ASSOCIATED SPECIALISTS, INC.",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "26330",
            "telephone_number": "304-933-3800",
            "fax_number": "304-933-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 MEDICAL PARK DRIVE, STE. 204",
            "address_2": "ASSOCIATED SPECIALISTS, INC.",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "26330",
            "telephone_number": "304-933-3800",
            "fax_number": "304-933-3814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 J D Anderson Dr",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265053494",
            "country_code": "US",
            "telephone_number": "304-598-1200",
            "fax_number": "304-598-1699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALGHADBAN",
        "first_name": "ADNAN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WV",
            "license": "21350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, WV

Sources for this page

Verify at the official NPI Registry.