Organization Active NPI

Beckley Cardiology, PLLC

  • Cardiovascular Disease Physician
  • Beckley, WV
National Provider Identifier
1245618677
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
24076 Issued in WV
Legal business name
BECKLEY CARDIOLOGY, PLLC
Practice address
1832 Harper Rd
Beckley, WV 25801-3366
Phone
(681) 207-7129
Fax
(681) 207-7132
NPI assigned
May 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Authorized official

Name
Dr. Ganesh Asaithambi, MDNPI 1306055827
Title
Owner/Provider
Phone
(681) 207-7129

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 24076 WV Primary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X 24136 WV

Addresses

Primary practice location

1832 Harper Rd
Beckley, WV 25801-3366

Mailing address

1832 Harper Rd
Beckley, WV 25801-3366
Phone (681) 207-7129

Other practice location 1

229 Merchants Walk
Summersville, WV 26651-1901
Phone (681) 207-7130

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aganesh@BCP-wv.direct.office.nextgen.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150818005517 WV Part B Supplier - Clinic/Group Practice 4587979638 Receives reassigned benefits from 7 practitioners
Practice locations: Beckley, WV; Summersville, WV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D2330790Beckley Cardiology1832 Harper Rd, Beckley, WV 25801Certificate of waiverSep 22, 2027

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: aganesh@bcp-wv.direct.office.nextgen.com

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1245618677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013366",
            "telephone_number": "681-207-7129",
            "fax_number": "681-207-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013366",
            "telephone_number": "681-207-7129",
            "fax_number": "681-207-7132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "229 Merchants Walk",
            "address_purpose": "LOCATION",
            "city": "Summersville",
            "state": "WV",
            "postal_code": "266511901",
            "country_code": "US",
            "telephone_number": "681-207-7130",
            "fax_number": "681-207-7132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BECKLEY CARDIOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-18",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "ASAITHAMBI",
        "authorized_official_first_name": "GANESH",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "681-207-7129",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WV",
            "license": "24076",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "WV",
            "license": "24136",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aganesh@BCP-wv.direct.office.nextgen.com",
            "affiliation": "N",
            "endpointDescription": "patient portal direct messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1832 Harper Rd",
            "city": "Beckley",
            "state": "WV",
            "country_code": "US",
            "postal_code": "258013366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.