NPIMap

Individual provider Active NPI

Joseph Mouchizadeh, MD

  • Urology Physician
  • Ronceverte, WV
National Provider Identifier
1225024342
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
20833 Issued in WV
Practice address
1521 Maplewood Ave
Ronceverte, WV 24970-8026
Phone
(304) 647-5642
Fax
(304) 647-5708
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 0101232558 VA
Urology Physician 208800000X 20833 WV Primary

Addresses

Primary practice location

1521 Maplewood Ave
Ronceverte, WV 24970-8026

Mailing address

176 Dawkins Dr
Lewisburg, WV 24901-9302
Phone (304) 647-4411

Other practice location 1

1320 Maplewood Ave
Ronceverte, WV 24970-8016
Phone (304) 647-5642

Other practice location 2

200 ARH Lane
Low Moor, VA 24457
Phone (304) 647-5642

Other identifiers 2

IdentifierTypeStateIssuer
1000875000MedicaidWV
007504268MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address joseph.mouchizadeh.1@2276.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100921000942 WV Practitioner - Urology 8628166642 Reassigns benefits to 1 organization
I20120106000463 VA Practitioner - Urology 8628166642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1979
Medicare assignment
May accept Medicare assignment
Group practices
Camc Greenbrier Valley Medical Center IncGroup PAC ID 1254702962, 79 clinicians

Practice addresses (Care Compare)

1 Arh Lane
Suite 101
Low Moor, VA 24457
Phone (304) 647-5652

1521 Maplewood Ave
Ronceverte, WV 24970-8026
Phone (304) 647-5642

Hospital & facility affiliations

  • Camc Greenbrier Valley Medical Center, Inc Hospital, Ronceverte, WV, CCN 510002
  • Lewisgale Hospital Alleghany Hospital, Low Moor, VA, CCN 490126
  • Charleston Area Medical Center Hospital, Charleston, WV, CCN 510022

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Camc Greenbrier Valley Medical Center, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Camc Greenbrier Valley Medical Center Inc Urology CurrentSince Jan 1, 2023 Accepting new patients
Jackson Laboratories Inc Past Accepting new patients
Lewis Gale Physicians LLC PastSince May 1, 2021 Accepting new patients

Locations

1 Arh Ln
Low Moor, VA 24457
Phone (540) 862-6223

1 Arh Ln
#112
Low Moor, VA 24457
Phone (304) 645-8095

1 Arh Ln
Ste 102
Low Moor, VA 24457
Phone (540) 862-6777

1 Arh Ln
Ste 101
Low Moor, VA 24457
Phone (304) 647-5652

231 Dawkins Dr
Lewisburg, WV 24901
Phone (304) 645-0870

176 Dawkins Dr
Lewisburg, WV 24901
Phone (304) 645-6083

1322 Maplewood Ave
Ronceverte, WV 24970
Phone (304) 647-1139

1521 Maplewood Ave
Ronceverte, WV 24970

1320 Maplewood Ave
Ronceverte, WV 24970
Phone (304) 645-0870

Interoperability endpoints

  • Direct secure messaging: joseph.mouchizadeh.1@2276.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1225024342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 DAWKINS DR",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249019302",
            "telephone_number": "304-647-4411",
            "fax_number": "304-647-5708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 MAPLEWOOD AVE",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249708026",
            "telephone_number": "304-647-5642",
            "fax_number": "304-647-5708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1320 Maplewood Ave",
            "address_purpose": "LOCATION",
            "city": "Ronceverte",
            "state": "WV",
            "postal_code": "249708016",
            "country_code": "US",
            "telephone_number": "304-647-5642",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 ARH Lane",
            "address_purpose": "LOCATION",
            "city": "Low Moor",
            "state": "VA",
            "postal_code": "24457",
            "country_code": "US",
            "telephone_number": "304-647-5642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOUCHIZADEH",
        "first_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "VA",
            "license": "0101232558",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WV",
            "license": "20833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000875000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007504268",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joseph.mouchizadeh.1@2276.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1521 Maplewood Ave",
            "city": "Ronceverte",
            "state": "WV",
            "country_code": "US",
            "postal_code": "249708026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ronceverte, WV

Sources for this page

Verify at the official NPI Registry.