Individual provider Active NPI

Sharmila Matcheswalla Jones, MD

  • Pediatrics Physician
  • South Charleston, WV
National Provider Identifier
1316032360
Registry record updated Jun 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
21916 Issued in WV
Practice address
4607 Maccorkle Ave
Ste 400
South Charleston, WV 25309
Phone
(304) 766-4400
Fax
(304) 766-4417
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 21916 WV Primary

Addresses

Primary practice location

4607 Maccorkle Ave
Ste 400
South Charleston, WV 25309

Mailing address

4607 Maccorkle Ave
Ste 400
South Charleston, WV 25309
Phone (304) 766-4400

Other identifiers 2

IdentifierTypeStateIssuer
4005199000MedicaidWV
3810002422MedicaidWV

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
I20240531001019 WV Practitioner - Pediatric Medicine 9638511967 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Systems, Inc Pediatrics CurrentSince Nov 4, 2024 Accepting new patients
Valley Health Systems, Inc Pediatrics CurrentSince Mar 30, 2024 Accepting new patients
Valley Health Systems, Inc. Pediatrics CurrentSince May 1, 2024 Accepting new patients
Valley Health Systems, Inc. CurrentSince Mar 30, 2024 Accepting new patients
Valley Health Systems, Inc. Pediatrics CurrentSince Aug 10, 2024 Accepting new patients
Valley Health Systems Inc Past Accepting new patients

Locations

830 Pennsylvania Ave
Ste 305
Charleston, WV 25302
Phone (304) 345-8107

830 Pennsylvania Ave
Ste 108
Charleston, WV 25302
Phone (304) 344-8368

4290 US Route 60
Huntington, WV 25705
Phone (304) 781-5001

3751 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 760-8703

111 Great Teays Blvd
Scott Depot, WV 25560
Phone (304) 757-1907

Interoperability endpoints

  • Direct secure messaging: sjones26268@valleyhealthsystems.direct-ci.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308873600000",
    "number": "1316032360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4607 MACCORKLE AVE",
            "address_2": "STE 400",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "25309",
            "telephone_number": "304-766-4400",
            "fax_number": "304-766-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4607 MACCORKLE AVE",
            "address_2": "STE 400",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "25309",
            "telephone_number": "304-766-4400",
            "fax_number": "304-766-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "SHARMILA",
        "middle_name": "MATCHESWALLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2011-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "21916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4005199000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810002422",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Charleston, WV

Sources for this page

Verify at the official NPI Registry.