NPIMap

Individual provider Active NPI

Ross Samuel Oliver Jr., M.D.

  • Urology Physician
  • Charleston, WV
National Provider Identifier
1053497453
Registry record updated May 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
13925 Issued in WV
Practice address
2335 Chesterfield Avenue,
Suite 101
Charleston, WV 25304-1066
Phone
(304) 344-3785
Fax
(304) 344-3765
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 13925 WV Primary

Addresses

Primary practice location

2335 Chesterfield Avenue,
Suite 101
Charleston, WV 25304-1066

Mailing address

2335 Chesterfield Avenue,
Suite 101
Charleston, WV 25304-1066
Phone (304) 344-3785

Other identifiers 10

IdentifierTypeStateIssuer
0216253040000OtherWVTRICARE
185112OtherWVSELECT NET
340002703OtherWVRAILROAD MC
001721031OtherWVBC BS
4242731OtherWVAETNA
0130039000MedicaidWV
1393063OtherWVMC UMW
1508836OtherWVCIGNA
1002718509OtherWVACORDIA PEIA
221960OtherWVCARELINK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100728000331 WV Practitioner - Urology 2163555186 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
West Virginia University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charleston Area Medical Center IncGroup PAC ID 3375441637, 969 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • Charleston Area Medical Center Hospital, Charleston, WV, CCN 510022

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center, Inc. CurrentSince Sep 1, 2016 Accepting new patients
Montgomery General Hospital, Inc Current Accepting new patients
Charleston Area Medical Center Inc CurrentSince Sep 1, 2016 Accepting new patients
Trinity Cardiology Inc. Past Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
Premier Imaging and Intervention, PLLC Past Accepting new patients

Locations

50 Veres Dr
Chapmanville, WV 25508
Phone (304) 388-6378

1220 Lee St E
Ste 100
Charleston, WV 25301
Phone (304) 388-1965

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

415 Morris St
Ste 309
Charleston, WV 25301
Phone (304) 348-3290

3703 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 757-2273

401 6th Ave
Montgomery, WV 25136
Phone (304) 442-5151

Organizations & group practices 6

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 11

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336953600000",
    "number": "1053497453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 CHESTERFIELD AVENUE,",
            "address_2": "SUITE 101",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041066",
            "telephone_number": "304-344-3785",
            "fax_number": "304-344-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 CHESTERFIELD AVENUE,",
            "address_2": "SUITE 101",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041066",
            "telephone_number": "304-344-3785",
            "fax_number": "304-344-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "ROSS",
        "middle_name": "SAMUEL",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2012-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WV",
            "license": "13925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "0216253040000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT NET",
            "identifier": "185112",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MC",
            "identifier": "340002703",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "001721031",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4242731",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0130039000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MC UMW",
            "identifier": "1393063",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1508836",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACORDIA PEIA",
            "identifier": "1002718509",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARELINK",
            "identifier": "221960",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.