Individual provider Active NPI

Khalid Abozguia, MD, PHD

  • Clinical Cardiac Electrophysiology Physician
  • Huntington, WV
National Provider Identifier
1265773105
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
11 Issued in WV
Practice address
1249 15TH St Ste 4000
Huntington, WV 25701-3663
Phone
(304) 691-8500
Fax
(304) 691-8510
NPI assigned
Mar 1, 2013
Last updated
Dec 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 11 WV Primary

Addresses

Primary practice location

1249 15TH St Ste 4000
Huntington, WV 25701-3663

Mailing address

1249 15TH St Ste 4000
Huntington, WV 25701-3663

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address khalid.abozguia@marshall.cernerdirect.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211025002937 WV Practitioner - Cardiac Electrophysiology 1052548583 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Medical Center, IncGroup PAC ID 6800866187, 7 clinicians

Practice addresses (Care Compare)

1249 15TH St
Suite 4000
Huntington, WV 25701-3663
Phone (304) 691-8500

2900 1St Ave
Huntington, WV 25702-1241
Phone (304) 526-1116

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair60

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11WVMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians & Surgeons, Inc. CurrentSince Aug 1, 2021 Accepting new patients
St Marys Medical Center, Inc. Clinical Cardiac Electrophysiology CurrentSince Jun 2, 2024 Accepting new patients
University Physicians & Surgeons, Inc. CurrentSince Aug 1, 2021 Accepting new patients
St. Mary's Medical Center Inc Current Accepting new patients
St. Mary's Himg, LLC Clinical Cardiac Electrophysiology CurrentSince Sep 1, 2025 Accepting new patients
Point Pleasant Physician Billing Services CurrentSince Feb 1, 2026 Accepting new patients
University Physicians & Surgeons, Inc Current Accepting new patients

Locations

1249 15th St
Ste 4000
Huntington, WV 25701
Phone (304) 691-8500

1448 10th Ave
Ste 304
Huntington, WV 25701
Phone (304) 691-6381

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111

2900 1st Ave
#77
Huntington, WV 25702
Phone (304) 526-1116

3075 US Route 60
Huntington, WV 25705
Phone (304) 733-0004

3075 US Route 60
Ste D265
Huntington, WV 25705
Phone (304) 526-1234

147 Willow Tree Way
Hurricane, WV 25526
Phone (304) 397-3002

2520 Valley Dr
Pt Pleasant, WV 25550
Phone (304) 675-1020

2520 Valley Dr
Ste 113
Pt Pleasant, WV 25550
Phone (304) 675-1020

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/704af85e-ff7f-4141-a47d-5f79ab640202/
  • Direct secure messaging: khalid.abozguia@marshall.cernerdirect.com

Organizations & group practices 7

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1265773105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1249 15TH ST STE 4000",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 15TH ST STE 4000",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013663",
            "telephone_number": "304-691-8500",
            "fax_number": "304-691-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOZGUIA",
        "first_name": "KHALID",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-01",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "WV",
            "license": "11",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khalid.abozguia@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1249 15th St Ste 4000",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257013663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.