Individual provider Active NPI

Sarah Jo Burton Kallas, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Elkins, WV
National Provider Identifier
1306105408
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
27220 Issued in WV
Practice address
812 Gorman Ave
Elkins, WV 26241-3181
Phone
(304) 637-3897
NPI assigned
May 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 35.120074 OH
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 27220 WV Primary

Addresses

Primary practice location

812 Gorman Ave
Elkins, WV 26241-3181

Mailing address

812 Gorman Ave
Elkins, WV 26241-3181
Phone (304) 637-3897

Other names 1

  • Dr. Sarah Jo Burton Former name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address skallas46171@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address skallas46171@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address skallas46171@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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161012001676 WV Practitioner - Pathology 7618119397 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stonewall Jackson Memorial Hospital CompanyGroup PAC ID 4284530551, 64 clinicians
West Virginia University Medical CorporationGroup PAC ID 1052224565, 1,974 clinicians
Davis Memorial HospitalGroup PAC ID 3072418540, 77 clinicians

Practice addresses (Care Compare)

230 Hospital PLZ
Weston, WV 26452-8558
Phone (304) 269-8000

812 Gorman Ave
Elkins, WV 26241-3181
Phone (304) 637-3897

Hospital & facility affiliations

  • West Virginia University Hospitals, Inc Hospital, Morgantown, WV, CCN 510001
  • Davis Medical Center Hospital, Elkins, WV, CCN 510030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.120074OHMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reynold'S Memorial Hospital Inc CurrentSince Aug 25, 2019 Accepting new patients
West Virginia University Medical Corporation CurrentSince Sep 15, 2016 Accepting new patients
Stonewall Jackson Memorial Hospital Company CurrentSince May 1, 2024 Accepting new patients
Davis Memorial Hospital CurrentSince Oct 24, 2016 Accepting new patients
West Virginia University Medical Corporation CurrentSince Sep 15, 2016 Accepting new patients
West Virginia University Medical Corporation Anatomic Pathology & Clinical Pathology Current Accepting new patients
Davis Memorial Hospital CurrentSince Oct 24, 2016 Accepting new patients
Reynolds Memorial Hospital, Inc CurrentSince Aug 25, 2019 Accepting new patients
Stonewall Jackson Memorial Hospital Company CurrentSince May 1, 2024 Accepting new patients

Locations

812 Gorman Ave
Elkins, WV 26241
Phone (304) 636-3300

800 Wheeling Ave
Glen Dale, WV 26038
Phone (304) 221-4520

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

3 E Benjamin Dr
North Martinsvlle, WV 26155
Phone (304) 455-8000

3 E Benjamin Dr
Ste B
North Martinsvlle, WV 26155
Phone (304) 455-6003

230 Hospital Plz
Weston, WV 26452
Phone (304) 269-8000

Interoperability endpoints

  • Direct secure messaging: skallas46171@direct.wvuhsdirect.com

Organizations & group practices 9

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 2

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": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1306105408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 GORMAN AVE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413181",
            "telephone_number": "304-637-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 GORMAN AVE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413181",
            "telephone_number": "304-637-3897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLAS",
        "first_name": "SARAH",
        "middle_name": "JO BURTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-09",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OH",
            "license": "35.120074",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "WV",
            "license": "27220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skallas46171@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Medical Center Dr",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265061200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skallas46171@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Medical Center Dr",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265061200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skallas46171@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Medical Center Dr",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265061200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "BURTON",
            "middle_name": "JO",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elkins, WV

Sources for this page

Verify at the official NPI Registry.