Organization Active NPI

Charleston Heart Clinic, Inc.

  • Specialist
  • Charleston, WV
National Provider Identifier
1124116967
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
16395 Issued in WV
Legal business name
CHARLESTON HEART CLINIC, INC.
Practice address
3 Winding Woods Dr
Charleston, WV 25311-9739
Phone
(304) 932-5688
NPI assigned
Oct 10, 2006
Last updated
Sep 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Authorized official

Name
Dr. Ahmed M. Sakkal, M.D.NPI 1508848227
Title
Owner
Phone
(304) 932-5688

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 16395 WV Primary

Addresses

Primary practice location

3 Winding Woods Dr
Charleston, WV 25311-9739

Mailing address

3 Winding Woods Dr Ste 406
Charleston, WV 25311-9739
Phone (304) 932-5688

Other identifiers 1

IdentifierTypeStateIssuer
1801046000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050912001273 WV Part B Supplier - Clinic/Group Practice 8325071244 Receives reassigned benefits from 2 practitioners
Practice locations: South Charleston, WV; Charleston, WV

National Provider Directory

National Provider Directory

Locations

415 Morris St
Charleston, WV 25301
Phone (304) 388-6441

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1124116967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WINDING WOODS DR STE 406",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253119739",
            "telephone_number": "304-932-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WINDING WOODS DR",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253119739",
            "telephone_number": "304-932-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON HEART CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "SAKKAL",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-932-5688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WV",
            "license": "16395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801046000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.