Active NPI
Archana Vasudevan, MD
- Infectious Disease Physician
- Morgantown, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 28780
- Practice address
- 3000 Mon Health Medical Park Dr Ste 3201
Morgantown, WV 26505 - Phone
- (304) 285-1460
- Fax
- (304) 285-2739
- NPI assigned
- Jun 30, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 2014016546 | MO | |
| Infectious Disease Physician | 207RI0200X | 28780 | WV | Primary |
| Internal Medicine Physician | 207R00000X | 2014016546 | MO |
Addresses
Primary practice location
3000 Mon Health Medical Park Dr Ste 3201
Morgantown, WV 26505
Mailing address
3000 Mon Health Medical Park Dr Ste 3201
Morgantown, WV 26505-1170
Phone (304) 285-1460
Other practice location 1
1 Hospital Dr
Dc043.00
Columbia, MO 65212-1000
Phone (573) 884-9066
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
- Infectious Disease
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1200 J D Anderson Dr
Morgantown, WV 26505-3494
Phone (304) 598-1200
150 Memorial Dr
Kingwood, WV 26537-1141
Phone (304) 329-1400
Hospital & facility affiliations
- Mon Health Medical Center
- West Virginia University Hospitals, Inc
- Mon Health Marion
- Grafton City Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.94 of 100
- Quality
- 69.71
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28780 | WV | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monongalia County General Hospital Company | Internal Medicine | Current | Accepting new patients |
Locations
150 Memorial Dr
Kingwood, WV 26537
Phone (304) 329-4701
3000 Mon Health Medical Park Dr
Ste 3201
Morgantown, WV 26505
Phone (304) 285-1460
1200 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-1460
Organizations & group practices 1
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
Internal Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Grafton, WV
- NPI 1265484893
-
- General Acute Care Hospital
- White Hall, WV
- NPI 1508441304
-
- General Acute Care Hospital
- Morgantown, WV
- NPI 1659489631
-
- General Acute Care Hospital
- Morgantown, WV
- NPI 1841271459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571875200000",
"number": "1194130088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 MON HEALTH MEDICAL PARK DR STE 3201",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265051170",
"telephone_number": "304-285-1460",
"fax_number": "304-285-2739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 MON HEALTH MEDICAL PARK DR STE 3201",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "26505",
"telephone_number": "304-285-1460",
"fax_number": "304-285-2739"
}
],
"practiceLocations": [
{
"address_1": "1 Hospital Dr",
"address_2": "DC043.00",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MO",
"postal_code": "652121000",
"country_code": "US",
"telephone_number": "573-884-9066",
"fax_number": "573-884-3037",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VASUDEVAN",
"first_name": "ARCHANA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-30",
"last_updated": "2019-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "MO",
"license": "2014016546",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "WV",
"license": "28780",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2014016546",
"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 Oct 24, 2019; 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.