Individual provider Active NPI

Jimmy Doumit, MD

  • Pulmonary Disease Physician
  • Bridgeport, WV
National Provider Identifier
1427346410
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
27914 Issued in WV
Practice address
527 Medical Park Dr Ste 205
Bridgeport, WV 26330
Phone
(681) 342-3730
Fax
(304) 842-9422
NPI assigned
Jul 12, 2011
Last updated
Apr 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 7603 KS
Pulmonary Disease Physician 207RP1001X 27914 WV Primary

Addresses

Primary practice location

527 Medical Park Dr Ste 205
Bridgeport, WV 26330

Mailing address

2673 Davisson Run Rd Ste 303
Clarksburg, WV 26301-7640
Phone (800) 541-4009

Other practice location 1

1370 Johnson Ave Ste 201
Bridgeport, WV 26330-1378
Phone (681) 342-3730

Other practice location 2

1370 Johnson Ave Ste 201
Bridgeport, WV 26330-1378
Phone (681) 342-3730

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jdoumit124659@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address jdoumit124659@direct.wvuhsdirect.com Health Information Exchange (HIE)

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
I20180904000475 WV Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 4284884289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Sleep Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
United Hospital Center IncGroup PAC ID 8123936010, 290 clinicians

Practice addresses (Care Compare)

527 Medical Park Dr
Bridgeport, WV 26330-9009
Phone (681) 342-4500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7603KSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Hospital Center, Inc. CurrentSince Jul 30, 2018 Accepting new patients
United Hospital Center, Inc. Internal Medicine CurrentSince Jul 30, 2018 Accepting new patients
United Hospital Center Internal Medicine Past Accepting new patients

Locations

1370 Johnson Ave
Ste 201
Bridgeport, WV 26330
Phone (681) 342-3730

327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000

527 Medical Park Dr
Ste 108
Bridgeport, WV 26330
Phone (304) 848-2150

527 Medical Park Dr
Ste 205
Bridgeport, WV 26330
Phone (304) 933-3860

916 W Main St
Bridgeport, WV 26330
Phone (304) 842-1034

2673 Davisson Run Rd
Ste 303
Clarksburg, WV 26301

Interoperability endpoints

  • Direct secure messaging: jdoumit124659@direct.wvuhsdirect.com

Organizations & group practices 3

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 2

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": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1427346410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2673 DAVISSON RUN RD STE 303",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263017640",
            "telephone_number": "800-541-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 MEDICAL PARK DR STE 205",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "26330",
            "telephone_number": "681-342-3730",
            "fax_number": "304-842-9422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1370 Johnson Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "WV",
            "postal_code": "263301378",
            "country_code": "US",
            "telephone_number": "681-342-3730",
            "fax_number": "304-842-9422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1370 Johnson Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "WV",
            "postal_code": "263301378",
            "country_code": "US",
            "telephone_number": "681-342-3730",
            "fax_number": "304-842-9422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUMIT",
        "first_name": "JIMMY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-12",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "7603",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WV",
            "license": "27914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdoumit124659@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "527 Medical Park Dr Ste 205",
            "city": "Bridgeport",
            "state": "WV",
            "country_code": "US",
            "postal_code": "263309009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdoumit124659@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "527 Medical Park Dr",
            "city": "Bridgeport",
            "state": "WV",
            "country_code": "US",
            "postal_code": "263309008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bridgeport, WV

Sources for this page

Verify at the official NPI Registry.