Shakur Ali Sobhan, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

01842 Issued in WV

Practice address

405 Carriage Dr
Beckley, WV 25801-2805

Phone

(304) 250-0226

NPI assigned

Sep 19, 2014

Last updated

Sep 19, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dembal Heart and Vascular PLLCGroup PAC ID 0042563587, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.15 of 100Reported as apm

Quality

47.14

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shakursobhan@arh.medalliesdirect.net

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.

• Dembal Heart & Vascular PLLC

  • Interventional Cardiology Physician
  • Beckley, WV
  • NPI 1770069163
  Medicare reassignment Care Compare group
• Appalachian Regional Healthcare, Inc

  dba ARH Southern West Virginia Clinic

  • Family Medicine Physician
  • Beckley, WV
  • NPI 1477510162
  Medicare reassignment NPD
• Appalachian Regional Healthcare, Inc

  dba ARH Tri-Cities Clinic Pharmacy

  • Community/Retail Pharmacy
  • Cumberland, KY
  • NPI 1710870811
  NPD

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411084800000",
    "number": "1053713180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 CARRIAGE DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 CARRIAGE DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012805",
            "telephone_number": "304-250-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBHAN",
        "first_name": "SHAKUR",
        "middle_name": "ALI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-19",
        "last_updated": "2014-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "01842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Snuffer
• Maria A Snuffer, CRNA
• Sara Snuffer
• Angel Lynn Snyder
• Tiffanie Renee' Snyder, APRN-CNP
• Ted W. Solari, M.D.
• Solutions Psycholgical Services, PLLC
• Kayla Sorrell
• Nancy E Sotak, MA
• Mary Souder, MSW

• Physician Assistant in Beckley, WV
• Providers in Beckley, WV by specialty
• Physician Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; 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.

Verify at the official NPI Registry.