NPIMap

Individual provider Active NPI

Wadih Kabbara, MD

  • Internal Medicine Physician
  • Beckley, WV
National Provider Identifier
1417977273
Registry record updated May 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
22398 Issued in WV
Practice address
250 Stanaford Rd
Beckley, WV 25801-3140
Phone
(304) 253-2225
Fax
(304) 253-2285
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 22398 WV Primary

Addresses

Primary practice location

250 Stanaford Rd
Beckley, WV 25801-3140

Mailing address

250 Stanaford Rd
Beckley, WV 25801-3140
Phone (304) 253-2225

Other identifiers 4

IdentifierTypeStateIssuer
000056944COtherWVHUMANA
001882166OtherWVMOUNTAIN STATE BLUE CROSS
3810005928MedicaidWV
22398OtherWVLICENSE

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
I20060919000270 WV Practitioner - Internal Medicine 1355346701 Practice locations: Beckley, WV

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1710 Harper Rd
Beckley, WV 25801-3357
Phone (304) 256-4100

250 Stanaford Rd
Beckley, WV 25801-3140
Phone (304) 254-2640

306 Stanaford Rd
Beckley, WV 25801-3142
Phone (304) 255-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.33 of 100Reported as individual
Quality
56.67
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth16
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh General Hospital LLC Past Accepting new patients
Marshall Emergency Services Associates, PLLC Past Accepting new patients
Hospital Care Consultants Region II Inc Internal Medicine Past Accepting new patients
Zouhair Kabbara MD Inc PastSince Jul 1, 2019 Accepting new patients
Appalachian Regional Healthcare, Inc Past Accepting new patients
Greenbrier Emergency Services, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: wadih.kabbara@wvafn.hcadirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241136000000",
    "number": "1417977273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 STANAFORD RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013140",
            "telephone_number": "304-253-2225",
            "fax_number": "304-253-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 STANAFORD RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013140",
            "telephone_number": "304-253-2225",
            "fax_number": "304-253-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABBARA",
        "first_name": "WADIH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2009-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "22398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "000056944C",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNTAIN STATE BLUE CROSS",
            "identifier": "001882166",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810005928",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "22398",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.