NPIMap

Individual provider Active NPI

Gabriel E Al-Hajj, M.D.

  • Surgery Physician
  • Charleston, WV
National Provider Identifier
1386670693
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
10871 Issued in WV
Practice address
400 Division St
Suite 7
Charleston, WV 25309-1459
Phone
(304) 768-0989
Fax
(304) 768-1148
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 10871 WV Primary

Addresses

Primary practice location

400 Division St
Suite 7
Charleston, WV 25309-1459

Mailing address

400 Division St
Suite 7
Charleston, WV 25309-1459
Phone (304) 768-0989

Other identifiers 1

IdentifierTypeStateIssuer
0127244000MedicaidWV

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
I20120328000029 WV Practitioner - General Surgery 3274793377 Practice locations: South Charleston, WV

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

400 Division St
Suite 7
Charleston, WV 25309-1459

Hospital & facility affiliations

  • Thomas Memorial Hospital Hospital, South Charleston, WV, CCN 510029
  • Charleston Area Medical Center Hospital, Charleston, WV, CCN 510022

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10871WVMDSurgery Physician

Hospital & facility affiliations 12

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

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386670693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 DIVISION ST",
            "address_2": "SUITE 7",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253091459",
            "telephone_number": "304-768-0989",
            "fax_number": "304-768-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 DIVISION ST",
            "address_2": "SUITE 7",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253091459",
            "telephone_number": "304-768-0989",
            "fax_number": "304-768-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-HAJJ",
        "first_name": "GABRIEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WV",
            "license": "10871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0127244000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.