Individual provider Active NPI

Mouhammed Aiman Sakkal, MD

  • Internal Medicine Physician
  • Charleston, WV
National Provider Identifier
1093398844
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34353 Issued in WV
Practice address
3200 Maccorkle Avenue Southeast
Robert C. Bird Clinical Training Center
Charleston, WV 25304
Phone
(304) 388-5590
Fax
(304) 388-8238
NPI assigned
Apr 29, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 34353 WV
Internal Medicine Physician 207R00000X 34353 WV Primary

Addresses

Primary practice location

3200 Maccorkle Avenue Southeast
Robert C. Bird Clinical Training Center
Charleston, WV 25304

Mailing address

3 Winding Woods Dr
Charleston, WV 25311-9739
Phone (304) 932-7629

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241113001356 WV Practitioner - Internal Medicine 6002217965 Reassigns benefits to 12 organizations
I20250122000423 WV Practitioner - Hospitalist 6002217965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
JC Edwards School of Medicine, Marshall University, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charleston Area Medical Center IncGroup PAC ID 3375441637, 969 clinicians
THS Physician Partners IncGroup PAC ID 9537316393, 366 clinicians

Practice addresses (Care Compare)

3200 Maccorkle Ave SE
Charleston, WV 25304-1227
Phone (304) 388-5432

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 414-4800

Hospital & facility affiliations

  • Thomas Memorial Hospital Hospital, South Charleston, WV, CCN 510029
  • Charleston Area Medical Center Hospital, Charleston, WV, CCN 510022

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1115WVMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Community Hospital Assn., Inc CurrentSince Sep 27, 2024 Accepting new patients
Grant Memorial Hospital Inc Hospitalist CurrentSince Apr 14, 2025 Accepting new patients
Braxton County Memorial Hospital CurrentSince Nov 15, 2024 Accepting new patients
City Hospital, Inc. Internal Medicine CurrentSince Jan 7, 2025 Accepting new patients
City Hospital Inc Current Accepting new patients
Princeton Community Hospital Assn Inc. CurrentSince Sep 27, 2024 Accepting new patients
Braxton County Memorial Hospital CurrentSince Nov 15, 2024 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Mar 1, 2025 Accepting new patients
THS Physician Partners Inc Internal Medicine CurrentSince Sep 27, 2024 Accepting new patients
West Virginia Health Care Cooperative Inc Hospitalist CurrentSince Dec 15, 2024 Accepting new patients
Camden-Clark Physician Corporation CurrentSince Sep 27, 2024 Accepting new patients
Grant Memorial Hospital Inc CurrentSince Apr 14, 2025 Accepting new patients
Charleston Area Medical Center, Inc. Current Accepting new patients
Charleston Area Medical Center Inc CurrentSince Mar 1, 2025 Accepting new patients
Wheeling Hospital Inc Hospitalist CurrentSince Sep 27, 2024 Accepting new patients
Reynolds Memorial Hospital, Inc CurrentSince Sep 27, 2024 Accepting new patients
West Virginia Health Care Cooperative Inc Current Accepting new patients
Wheeling Hospital, Inc. Past Accepting new patients
Camden Clark Memorial Hospital Corporation Past Accepting new patients
Herbert J. Thomas Memorial Hospital Association Past Accepting new patients

Locations

L3539
Columbus, OH 43260
Phone (304) 414-4800

401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325

3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550

3200 Maccorkle Ave SE
#C
Charleston, WV 25304
Phone (304) 347-1336

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

100 Hoylman Dr
Gassaway, WV 26624
Phone (304) 364-1046

800 Wheeling Ave
Glen Dale, WV 26038
Phone (304) 221-4520

2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134

800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161

800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405

117 Hospital Dr
Petersburg, WV 26847
Phone 30497450009312

122 12th St
Princeton, WV 24740
Phone (304) 487-7061

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

400 Fairview Heights Rd
Summersville, WV 26651
Phone (304) 872-2891

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 12

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": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1093398844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WINDING WOODS DR",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253119739",
            "telephone_number": "304-932-7629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 MACCORKLE AVENUE SOUTHEAST",
            "address_2": "ROBERT C. BIRD CLINICAL TRAINING CENTER",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "25304",
            "telephone_number": "304-388-5590",
            "fax_number": "304-388-8238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKKAL",
        "first_name": "MOUHAMMED",
        "middle_name": "AIMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-29",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WV",
            "license": "34353",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "34353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.