Individual provider Active NPI

Vignesh Gunasekaran, M.D

  • Neonatal-Perinatal Medicine Physician
  • Ranson, WV
National Provider Identifier
1386091429
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
30895 Issued in WV
Practice address
300 S Preston St
Ranson, WV 25438-1631
Phone
(304) 728-1795
NPI assigned
May 18, 2016
Reactivated
Feb 24, 2017
Last updated
Sep 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 4301110392 MI
Student in an Organized Health Care Education/Training Program 390200000X NU
Neonatal-Perinatal Medicine Physician 2080N0001X 30895 WV Primary

Addresses

Primary practice location

300 S Preston St
Ranson, WV 25438-1631

Mailing address

3901 Beaubien Street, Pediatric Education Department
Children's Hospital of Michigan
Detroit, MI 48201
Phone (313) 745-5437

Other practice location 1

3901 Beaubien Street, Pediatric Education Department
Children's Hospital of Michigan
Detroit, MI 48201
Phone (313) 745-1892

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
I20220802003952 WV Practitioner - Pediatric Medicine 5193018281 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301110392MIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Jan 1, 2023 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jan 1, 2023 Accepting new patients
University Healthcare Physicians Inc CurrentSince Jun 26, 2022 Accepting new patients
University Healthcare Physicians, Inc. CurrentSince Jun 26, 2022 Accepting new patients
City Hospital, Inc Past Accepting new patients

Locations

2000 Foundation Way
Ste 3100
Martinsburg, WV 25401
Phone (304) 260-1436

2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134

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

300 S Preston St
Ranson, WV 25438
Phone (304) 728-1600

Interoperability endpoints

  • Direct secure messaging: vgunasekaran345418@direct.wvuhsdirect.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1386091429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 BEAUBIEN STREET, PEDIATRIC EDUCATION DEPARTMENT",
            "address_2": "CHILDREN'S HOSPITAL OF MICHIGAN",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48201",
            "telephone_number": "313-745-5437",
            "fax_number": "313-993-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S PRESTON ST",
            "city": "RANSON",
            "state": "WV",
            "postal_code": "254381631",
            "telephone_number": "304-728-1795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Beaubien Street, Pediatric Education Department",
            "address_2": "Children's Hospital of Michigan",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "48201",
            "country_code": "US",
            "telephone_number": "313-745-1892",
            "fax_number": "313-993-7118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUNASEKARAN",
        "first_name": "VIGNESH",
        "name_prefix": "Mr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-18",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "deactivation_date": "2017-01-10",
        "reactivation_date": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301110392",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "WV",
            "license": "30895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ranson, WV

Sources for this page

Verify at the official NPI Registry.