Individual provider Active NPI

Viorica Maria Crisan, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Weirton, WV
National Provider Identifier
1386630671
Registry record updated Nov 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
20464 Issued in WV
Practice address
651 Colliers Way
Suite 406
Weirton, WV 26062-5053
Phone
(304) 723-5670
Fax
(304) 723-5672
NPI assigned
Sep 22, 2005
Last updated
Nov 25, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 20464 WV Primary

Addresses

Primary practice location

651 Colliers Way
Suite 406
Weirton, WV 26062-5053

Mailing address

1115 Saint Mellion Dr
Presto, PA 15142-1009
Phone (412) 600-1712

Other identifiers 2

IdentifierTypeStateIssuer
2283916MedicaidOH
2000245000MedicaidWV

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
I20050401000081 WV Practitioner - Endocrinology 0547157703

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
41.78 of 100Reported as individual
Quality
43.33
Improvement activities
0
Cost
81.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20464WVMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Endocrinology Clinic PLLC Endocrinology, Diabetes & Metabolism CurrentSince Oct 4, 2006 Accepting new patients

Locations

601 Colliers Way
Weirton, WV 26062
Phone (304) 364-5156

651 Colliers Way
Ste 406
Weirton, WV 26062
Phone (304) 723-5670

Organizations & group practices 1

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": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195948800000",
    "number": "1386630671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 SAINT MELLION DR",
            "city": "PRESTO",
            "state": "PA",
            "postal_code": "151421009",
            "telephone_number": "412-600-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 COLLIERS WAY",
            "address_2": "SUITE 406",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260625053",
            "telephone_number": "304-723-5670",
            "fax_number": "304-723-5672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISAN",
        "first_name": "VIORICA",
        "middle_name": "MARIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-22",
        "last_updated": "2007-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "WV",
            "license": "20464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2283916",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2000245000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weirton, WV

Sources for this page

Verify at the official NPI Registry.