Active NPI
Salam H Rajjoub, MD
- Pulmonary Disease Physician
- Bridgeport, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 20559
- Practice address
- 700 Genesis Blvd
Bridgeport, WV 26330-9668 - Phone
- (304) 848-2040
- Fax
- (304) 848-2042
- NPI assigned
- Jun 10, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 20559 | WV | Primary |
Addresses
Primary practice location
700 Genesis Blvd
Bridgeport, WV 26330-9668
Mailing address
PO Box 6230
Wheeling, WV 26003-0722
Phone (304) 242-7106
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
700 Genesis Blvd
Bridgeport, WV 26330-9668
Phone (304) 848-2040
Hospital & facility affiliations
- United Hospital Center, Inc
- St Joseph'S Hospital of Buckhannon, Inc
- West Virginia University Hospitals, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 23.43 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 78.11
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.61 of 100
- Quality
- 81.19
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.49
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20559 | WV | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Lung Care Inc. | Pulmonary Disease | Current | Accepting new patients |
| Psychiatric Associates | Past | Accepting new patients |
Locations
700 Genesis Blvd
Bridgeport, WV 26330
Phone (304) 808-7000
1160 Johnson Ave
Ste 105
Bridgeport, WV 26330
Phone (304) 842-9084
Organizations & group practices 2
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.
-
- Pulmonary Disease Physician
- Bridgeport, WV
- NPI 1528000221
-
- Psychiatry Physician
- Bridgeport, WV
- NPI 1790863744
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Buckhannon, WV
- NPI 1124005061
-
- General Acute Care Hospital
- Bridgeport, WV
- NPI 1184606600
-
- General Acute Care Hospital
- Morgantown, WV
- NPI 1841271459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1366483083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6230",
"city": "WHEELING",
"state": "WV",
"postal_code": "260030722",
"telephone_number": "304-242-7106",
"fax_number": "304-242-7108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 GENESIS BLVD",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263309668",
"telephone_number": "304-848-2040",
"fax_number": "304-848-2042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAJJOUB",
"first_name": "SALAM",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "WV",
"license": "20559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.