Individual provider Active NPI

Faredoon K. Misaghi, DO

  • Family Medicine Physician
  • Charleston, WV
National Provider Identifier
1427097302
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1598 Issued in WV
Practice address
4602 Maccorkle Avenue SE
Charleston, WV 25304
Phone
(304) 925-4777
Fax
(304) 925-4780
NPI assigned
Jun 6, 2006
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1598 WV Primary

Addresses

Primary practice location

4602 Maccorkle Avenue SE
Charleston, WV 25304

Mailing address

415 Morris Street
Suite 304
Charleston, WV 25301
Phone (304) 388-7782

Other practice location 1

5430 MacCorkle Ave SE
Charleston, WV 25304-2224
Phone (304) 925-3627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, MD, VA, PA, AR, DE, MA7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20040209000500 WV Practitioner - Family Practice 9638063076 Reassigns benefits to 1 organization
I20220416000181 MD Practitioner - Family Practice 9638063076 Reassigns benefits to 1 organization
I20220606001193 VA Practitioner - Family Practice 9638063076 Reassigns benefits to 1 organization
I20221003002308 PA Practitioner - Family Practice 9638063076 Reassigns benefits to 1 organization
I20221014000995 AR Practitioner - Family Practice 9638063076 Reassigns benefits to 1 organization
I20221108001731 DE Practitioner - Family Practice 9638063076 Reassigns benefits to 1 organization
I20230912001248 MA Practitioner - Family Practice 9638063076 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1598WVMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care Arkansas, P.a. Family Medicine CurrentSince Oct 3, 2022 Accepting new patients
Medexpress Urgent Care, PC - Maryland CurrentSince Apr 8, 2022 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania Family Medicine CurrentSince Sep 21, 2022 Accepting new patients
Medexpress, Inc - Delaware Family Medicine CurrentSince Oct 25, 2022 Accepting new patients
Medexpress Urgent Care, PC - Virginia Family Medicine CurrentSince May 24, 2022 Accepting new patients
Medexpress Urgent Care, PC - Virginia Family Medicine CurrentSince May 24, 2022 Accepting new patients
Medexpress, Inc - Delaware Family Medicine Current Accepting new patients
Medexpress, Inc - Delaware Family Medicine CurrentSince Oct 25, 2022 Accepting new patients
Medexpress Urgent Care, PC - Massachusetts CurrentSince Jul 30, 2023 Accepting new patients
Medexpress Urgent Care, PC - Maryland Family Medicine CurrentSince Apr 8, 2022 Accepting new patients
Medexpress Urgent Care, PC - Massachusetts CurrentSince Jul 30, 2023 Accepting new patients
Medexpress Urgent Care Arkansas, P.a. Current Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Sep 21, 2022 Accepting new patients
Urgent Care, PC - Pennsylvania Current Accepting new patients
Medexpress Urgent Care Texas, P.a. Past Accepting new patients
Southeastern Emergency Physicians LLC Past Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
Dwic of Tampa Bay, Inc Past Accepting new patients

Locations

1160 S 40th St
Springdale, AR 72762
Phone (479) 750-2971

2722 Concord Pike
Wilmington, DE 19803
Phone (302) 477-1406

1505 Memorial Dr
Chicopee, MA 01020
Phone (413) 331-4336

430 Cooley St
Springfield, MA 01128
Phone (413) 295-4144

1741 Dual Hwy
Ste A
Hagerstown, MD 21740
Phone (301) 790-0254

4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

1336 W Main St
Salem, VA 24153
Phone (540) 389-0374

423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510

Interoperability endpoints

  • Direct secure messaging: fmisaghi21320@gohealthupmc.direct-ci.com

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1427097302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 MORRIS STREET",
            "address_2": "SUITE 304",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "25301",
            "telephone_number": "304-388-7782",
            "fax_number": "304-388-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4602 MACCORKLE AVENUE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "25304",
            "telephone_number": "304-925-4777",
            "fax_number": "304-925-4780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5430 MacCorkle Ave SE",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253042224",
            "country_code": "US",
            "telephone_number": "304-925-3627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISAGHI",
        "first_name": "FAREDOON",
        "middle_name": "K.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "1598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.