Active NPI
Sowmini Medavaram, MD
- Hematology & Oncology Physician
- Martinsburg, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 29028
- Practice address
- 2000 Foundation Way Ste 2600
Martinsburg, WV 25401-9197 - Phone
- (304) 267-1944
- NPI assigned
- Apr 24, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hematology & Oncology Physician | 207RH0003X | 29028 | WV | Primary |
Addresses
Primary practice location
2000 Foundation Way Ste 2600
Martinsburg, WV 25401-9197
Mailing address
2500 Foundation Way
Martinsburg, WV 25401-9000
Phone (304) 264-9202
Other practice location 1
201 Lyons Ave
Newark, NJ 07112-2027
Phone (732) 540-3579
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | smedavaram142522@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | smedavaram142522@direct.wvuhsdirect.com | Health Information Exchange (HIE) |
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
- Hematology/Oncology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2000 Foundation Way
Suite 2600
Martinsburg, WV 25401-9197
Phone (304) 267-1944
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| University Healthcare Physicians, Inc. | Hematology & Oncology | Current | Accepting new patients |
| University Healthcare Physicians Inc | Current | Accepting new patients |
Locations
2000 Foundation Way
Ste 3100
Martinsburg, WV 25401
Phone (304) 260-1436
2500 Foundation Way
Martinsburg, WV 25401
Phone (304) 264-9202
2000 Foundation Way
Ste 2600
Martinsburg, WV 25401
Phone (304) 263-7023
2000 Foundation Way
Martinsburg, WV 25401
Phone (304) 260-1436
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
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.
-
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
-
- Family Medicine Physician
- Martinsburg, WV
- NPI 1659625739
Hematology & Oncology
-
- Anesthesiology Physician
- Martinsburg, WV
- NPI 1417371329
-
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Martinsburg, WV
- NPI 1457389249
-
- Medicare Defined Swing Bed Hospital Unit
- Ranson, WV
- NPI 1104242569
-
- Critical Access Hospital
- Ranson, WV
- NPI 1891722377
-
- 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": "1366761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649289600000",
"number": "1255775987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 FOUNDATION WAY",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254019000",
"telephone_number": "304-264-9202",
"fax_number": "304-294-9042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 FOUNDATION WAY STE 2600",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254019197",
"telephone_number": "304-267-1944"
}
],
"practiceLocations": [
{
"address_1": "201 Lyons Ave",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NJ",
"postal_code": "071122027",
"country_code": "US",
"telephone_number": "732-540-3579",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEDAVARAM",
"first_name": "SOWMINI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-24",
"last_updated": "2022-04-07",
"certification_date": "2022-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "WV",
"license": "29028",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "smedavaram142522@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2000 Foundation Way",
"city": "Martinsburg",
"state": "WV",
"country_code": "US",
"postal_code": "254019003",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "smedavaram142522@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2000 Foundation Way Ste 2600",
"city": "Martinsburg",
"state": "WV",
"country_code": "US",
"postal_code": "254019197",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Martinsburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.