NPIMap

Individual provider Active NPI

Michael A Istfan, MD

  • Rheumatology Physician
  • South Charleston, WV
National Provider Identifier
1386650760
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
14366 Issued in WV
Practice address
4610 Kanawha Ave SW
Suite 301
South Charleston, WV 25309-1367
Phone
(304) 720-8701
Fax
(304) 720-8702
NPI assigned
Jul 31, 2006
Last updated
Mar 7, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 14366 WV Primary

Addresses

Primary practice location

4610 Kanawha Ave SW
Suite 301
South Charleston, WV 25309-1367

Mailing address

4610 Kanawha Ave SW
Suite 301
South Charleston, WV 25309-1367
Phone (304) 720-8701

Other identifiers 1

IdentifierTypeStateIssuer
3910000444MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101018000011 WV Practitioner - RheumatologyPractitioner - Internal Medicine 6709079221 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
JC Edwards School of Medicine, Marshall University, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

400 Association Dr
Suite 102
Charleston, WV 25311-1298

4610 Kanawha Ave SW
South Charleston, WV 25309-1367
Phone (304) 205-7992

501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-5432

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Jul 1, 2023 Accepting new patients
Rheumatology Associates PLLC Rheumatology CurrentSince Aug 27, 2010 Accepting new patients
Rheumatology Group, PLLC Rheumatology CurrentSince Sep 6, 2013 Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients

Locations

500 Donnally St
#B303
Charleston, WV 25301
Phone (304) 343-3888

500 Donnally St
Bldg B
Charleston, WV 25301
Phone (304) 343-3888

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

4610 Kanawha Ave SW
Ste 301
South Charleston, WV 25309
Phone (304) 344-8311

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BEDACA/Endpoint/BEDACA

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1386650760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 KANAWHA AVE SW",
            "address_2": "SUITE 301",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091367",
            "telephone_number": "304-720-8701",
            "fax_number": "304-720-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 KANAWHA AVE SW",
            "address_2": "SUITE 301",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091367",
            "telephone_number": "304-720-8701",
            "fax_number": "304-720-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISTFAN",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "WV",
            "license": "14366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3910000444",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Charleston, WV

Sources for this page

Verify at the official NPI Registry.