NPIMap

Organization Active NPI

Medstrat

  • Internal Medicine Physician
  • Glen Dale, WV
National Provider Identifier
1285183343
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
180099 Issued in WV
Legal business name
MEDSTRAT
Practice address
426 8TH St
Suite 305
Glen Dale, WV 26038-1451
Phone
(304) 458-5041
NPI assigned
Sep 29, 2016
Last updated
Sep 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Authorized official

Name
Melvin Saludes, MDNPI 1275643314
Title
Owner
Phone
(304) 843-5041

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 180099 WV Primary

Addresses

Primary practice location

426 8TH St
Suite 305
Glen Dale, WV 26038-1451

Mailing address

PO Box 6083
Wheeling, WV 26003-0707
Phone (304) 843-5041

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161104000183 WV Part B Supplier - Clinic/Group Practice 6709164296 Receives reassigned benefits from 9 practitioners
Practice locations: Glen Dale, WV; Wheeling, WV

National Provider Directory

National Provider Directory

Locations

601 Colliers Way
Fl 9
Weirton, WV 26062
Phone (304) 797-6410

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1285183343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6083",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260030707",
            "telephone_number": "304-843-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 8TH ST",
            "address_2": "SUITE 305",
            "city": "GLEN DALE",
            "state": "WV",
            "postal_code": "260381451",
            "telephone_number": "304-458-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTRAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-29",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "SALUDES",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-843-5041",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "180099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Dale, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.