NPIMap

Individual provider Active NPI

Mohamad B. Haffar, MD

  • Gastroenterology Physician
  • South Charleston, WV
National Provider Identifier
1205995701
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
16153 Issued in WV
Practice address
117 7TH Ave
South Charleston, WV 25303-1417
Phone
(304) 345-2255
Fax
(304) 345-2112
NPI assigned
Dec 8, 2006
Last updated
Jul 9, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 16153 WV Primary

Addresses

Primary practice location

117 7TH Ave
South Charleston, WV 25303-1417

Mailing address

6 Woodcrest LN
Charleston, WV 25314-2472
Phone (304) 345-2255

Other identifiers 1

IdentifierTypeStateIssuer
0073018000MedicaidWV

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
I20040129000524 WV Practitioner - GastroenterologyPractitioner - Internal Medicine 8426951492 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boone Memorial Hospital IncGroup PAC ID 3375433352, shared by 8 NPIs, 78 clinicians

Practice addresses (Care Compare)

117 7TH Ave
S Charleston, WV 25303-1417
Phone (304) 395-3332

1306 Kanawha Blvd E
Charleston, WV 25301-3001
Phone (304) 343-4371

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

697 Madison Ave
Suite 101
Madison, WV 25130
Phone (304) 369-1230

701 Madison Ave
Madison, WV 25130-1669
Phone (304) 369-1230

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
36.35 of 100Reported as individual
Quality
25.12
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

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

Merit-based Incentive Payment System (MIPS)

Final score
27.73 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
92.42

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy371
Upper gastrointestinal (GI) endoscopy for acid reflux442

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center, Inc. CurrentSince Mar 17, 2015 Accepting new patients
Boone Memorial Hospital, Inc Current Accepting new patients
Boone Memorial Hospital, Inc CurrentSince Nov 1, 2007 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Mar 17, 2015 Accepting new patients
Boone Memorial Hospital, Inc Current Accepting new patients
Bassam Haffar Inc Gastroenterology CurrentSince Jul 1, 2005 Accepting new patients
Boone Memorial Hospital, Inc CurrentSince Nov 1, 2007 Accepting new patients
Boone Memorial Hospital, Inc Current Accepting new patients
Logan Gastroenterology Gastroenterology PastSince Feb 1, 2001 Accepting new patients

Locations

1306 Kanawha Blvd E
Charleston, WV 25301
Phone (304) 343-4371

331 Laidley St
Ste 504
Charleston, WV 25301
Phone (304) 345-2255

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

6952 Coal River Rd
#C
Comfort, WV 25049
Phone (304) 307-3116

660 S Main St
#A
Madison, WV 25130
Phone (304) 369-1230

701 Madison Ave
Madison, WV 25130
Phone (304) 369-1230

117 7th Ave
South Charleston, WV 25303
Phone (304) 345-2255

Organizations & group practices 9

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.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1205995701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WOODCREST LN",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253142472",
            "telephone_number": "304-345-2255",
            "fax_number": "304-345-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 7TH AVE",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253031417",
            "telephone_number": "304-345-2255",
            "fax_number": "304-345-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFFAR",
        "first_name": "MOHAMAD",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WV",
            "license": "16153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0073018000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Charleston, WV

Sources for this page

Verify at the official NPI Registry.