Individual provider Active NPI

Saad Sultan Ghumman, M.D.

  • Interventional Cardiology Physician
  • Charlottesville, VA
National Provider Identifier
1356723373
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
65059 Issued in TN
Practice address
1215 Lee St
Charlottesville, VA 22908
Phone
(434) 924-9001
Fax
(434) 244-7581
NPI assigned
Jun 25, 2015
Last updated
Mar 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 0101275489 VA
Interventional Cardiology Physician 207RI0011X 65059 TN Primary
Student in an Organized Health Care Education/Training Program 390200000X BP10052409 TX
Student in an Organized Health Care Education/Training Program 390200000X 0116031224 VA

Addresses

Primary practice location

1215 Lee St
Charlottesville, VA 22908

Mailing address

4892 Island Rd Apt N108
Bristol, TN 37620-1120

Other practice location 1

743 Island Rd
Bristol, VA 24201-7403
Phone (276) 469-4200

Other practice location 2

16000 Johnston Memorial Dr Ste 212A
Abingdon, VA 24211-7664
Phone (276) 258-3740

Other practice location 3

378 Marketplace Blvd Ste 5
Johnson City, TN 37604-2361
Phone (423) 282-0751

Other practice location 4

1490 Park Ave NW Ste 3C
Norton, VA 24273-1631
Phone (276) 679-0252

Other practice location 5

671 Highway 58 E
Norton, VA 24273-3007
Phone (276) 679-5874

Other practice location 6

4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-3555

Other practice location 7

2050 Meadowview Pkwy
Kingsport, TN 37660-7475
Phone (423) 230-5000

Other practice location 8

271 Medical Park Blvd
Bristol, TN 37620-7455
Phone (423) 274-8600

Other practice location 9

590 W Ridge Rd Ste D
Wytheville, VA 24382-1067
Phone (276) 228-5506

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sghumman305580@balladhealth.medalliesdirect.net Direct Wellmont Cardiology Services

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220902001320 TN Practitioner - Interventional Cardiology 0648569145 Reassigns benefits to 1 organization
I20221013001127 VA Practitioner - Interventional Cardiology 0648569145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmont Cardiology ServicesGroup PAC ID 5799970281, 137 clinicians

Practice addresses (Care Compare)

271 Medical Park Blvd
Bristol, TN 37620-7455
Phone (423) 274-8600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting38
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65059TNMDInterventional Cardiology Physician
0116031224VAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmont Health System Current Accepting new patients
Wellmont Medical Associates Inc CurrentSince Aug 1, 2022 Accepting new patients
Wellmont Medical Associates, Inc. PastSince Aug 1, 2022 Accepting new patients
Wythe County Physician Practices LLC Past Accepting new patients
Solstas Lab Partners Group LLC Past Accepting new patients

Locations

378 Marketplace Blvd
Ste 5
Johnson City, TN 37604
Phone (423) 282-0751

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

2050 Meadowview Pkwy
Kingsport, TN 37660

391 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-4406

16000 Johnston Memorial Dr
Ste 212A
Abingdon, VA 24211
Phone (276) 258-1000

1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111

743 Island Rd
Bristol, VA 24201
Phone (276) 469-4200

1490 Park Ave NW
Ste 3C
Norton, VA 24273
Phone (276) 439-1385

671 Highway 58 E
Norton, VA 24273
Phone (276) 679-5874

127 Health Care Dr
Ste 3
Pennington Gap, VA 24277
Phone (276) 299-5000

Interoperability endpoints

  • Direct secure messaging: sghumman305580@balladhealth.medalliesdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1356723373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4892 ISLAND RD APT N108",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376201120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 LEE ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "22908",
            "telephone_number": "434-924-9001",
            "fax_number": "434-244-7581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "743 Island Rd",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "VA",
            "postal_code": "242017403",
            "country_code": "US",
            "telephone_number": "276-469-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16000 Johnston Memorial Dr Ste 212A",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242117664",
            "country_code": "US",
            "telephone_number": "276-258-3740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "378 Marketplace Blvd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376042361",
            "country_code": "US",
            "telephone_number": "423-282-0751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1490 Park Ave NW Ste 3C",
            "address_purpose": "LOCATION",
            "city": "Norton",
            "state": "VA",
            "postal_code": "242731631",
            "country_code": "US",
            "telephone_number": "276-679-0252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "671 Highway 58 E",
            "address_purpose": "LOCATION",
            "city": "Norton",
            "state": "VA",
            "postal_code": "242733007",
            "country_code": "US",
            "telephone_number": "276-679-5874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4502 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782294402",
            "country_code": "US",
            "telephone_number": "210-358-3555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2050 Meadowview Pkwy",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376607475",
            "country_code": "US",
            "telephone_number": "423-230-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "271 Medical Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376207455",
            "country_code": "US",
            "telephone_number": "423-274-8600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "590 W Ridge Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Wytheville",
            "state": "VA",
            "postal_code": "243821067",
            "country_code": "US",
            "telephone_number": "276-228-5506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHUMMAN",
        "first_name": "SAAD SULTAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-25",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "VA",
            "license": "0101275489",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TN",
            "license": "65059",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10052409",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116031224",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sghumman305580@balladhealth.medalliesdirect.net",
            "affiliation": "Y",
            "endpointDescription": "Ballad Health Care Everywhere",
            "affiliationName": "Wellmont Cardiology Services",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2050 Meadowview Parkway",
            "city": "Kingsport",
            "state": "TN",
            "country_code": "US",
            "postal_code": "376607332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.