Active NPI
Shanawar Ali Waris
- Internal Medicine Physician
- Morgantown, WV
National Provider Identifier
1053014043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 36473
- Practice address
- 1200 J D Anderson Dr
Morgantown, WV 26505-3494 - Phone
- (304) 598-1200
- Fax
- (304) 598-4871
- NPI assigned
- Mar 27, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 36473 | WV | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1200 J D Anderson Dr
Morgantown, WV 26505-3494
Mailing address
1200 J D Anderson Dr
Morgantown, WV 26505-3494
Phone (304) 598-1200
Other practice location 1
101 Stadium Dr
Morgantown, WV 26506-7911
Phone (304) 598-4850
Other practice location 2
140 Middletown Loop
Fairmont, WV 26554-8701
Phone (304) 333-1150
Other practice location 3
150 Memorial Dr
Kingwood, WV 26537-1141
Phone (304) 329-1400
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- West Virginia University School of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 J D Anderson Dr
Morgantown, WV 26505-3494
Phone (304) 598-1200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36473 | WV | MD | Internal Medicine Physician |
Organizations & group practices 3
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.
-
- Specialist
- Morgantown, WV
- NPI 1447673223
-
- Hospitalist Physician
- White Hall, WV
- NPI 1417521337
-
- Emergency Medicine Physician
- Kingwood, WV
- NPI 1841230661
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Morgantown, WV
- NPI 1659489631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775433600000",
"number": "1053014043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 J D ANDERSON DR",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265053494",
"telephone_number": "304-598-1200",
"fax_number": "304-598-4871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 J D ANDERSON DR",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265053494",
"telephone_number": "304-598-1200",
"fax_number": "304-598-4871"
}
],
"practiceLocations": [
{
"address_1": "101 Stadium Dr",
"address_purpose": "LOCATION",
"city": "Morgantown",
"state": "WV",
"postal_code": "265067911",
"country_code": "US",
"telephone_number": "304-598-4850",
"fax_number": "304-598-4871",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "140 Middletown Loop",
"address_purpose": "LOCATION",
"city": "Fairmont",
"state": "WV",
"postal_code": "265548701",
"country_code": "US",
"telephone_number": "304-333-1150",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "150 Memorial Dr",
"address_purpose": "LOCATION",
"city": "Kingwood",
"state": "WV",
"postal_code": "265371141",
"country_code": "US",
"telephone_number": "304-329-1400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WARIS",
"first_name": "SHANAWAR",
"middle_name": "ALI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-27",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WV",
"license": "36473",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.