Active NPI
Saad Sultan Ghumman, M.D.
- Interventional Cardiology Physician
- Charlottesville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 65059
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sghumman305580@balladhealth.medalliesdirect.net | Direct | Wellmont Cardiology Services |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
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
Practice addresses (Care Compare)
271 Medical Park Blvd
Bristol, TN 37620-7455
Phone (423) 274-8600
Hospital & facility affiliations
- Johnson City Medical Center
- Wellmont Bristol Regional Medical Center
- Franklin Woods Community Hospital
- Greeneville Community Hospital
- Johnston Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 38 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65059 | TN | MD | Interventional Cardiology Physician |
| 0116031224 | VA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmont Health System | Current | Accepting new patients | |
| Wellmont Medical Associates Inc | Current | Accepting new patients | |
| Wellmont Medical Associates, Inc. | Past | 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
- 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.
-
- Cardiovascular Disease Physician
- Kingsport, TN
- NPI 1376575035
-
dba Ballad Health Medical Associates
- Internal Medicine Physician
- Abingdon, VA
- NPI 1174808216
-
- General Acute Care Hospital
- Kingsport, TN
- NPI 1760405849
-
- Family Medicine Physician
- Wytheville, VA
- NPI 1780630327
-
- Clinical Medical Laboratory
- Valdosta, GA
- NPI 1407850985
-
dba Ballad Health Medical Associates
- Internal Medicine Physician
- Johnson City, TN
- NPI 1154789030
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Abingdon, VA
- NPI 1104812684
-
dba Woodridge Hospital
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1023434339
-
dba Franklin Woods Community Hospital
- General Acute Care Hospital
- Johnson City, TN
- NPI 1114033628
-
dba Johnson City Medical Center
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1962915652
-
dba Johnson City Medical Center
- General Acute Care Hospital
- Johnson City, TN
- NPI 1972606465
-
dba Ballad Health Medical Associates
- General Acute Care Hospital
- Greeneville, TN
- NPI 1699819003
-
dba Bristol Regional Medical Center
- General Acute Care Hospital
- Bristol, TN
- NPI 1124058615
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.