Active NPI
Jimmy Doumit, MD
- Pulmonary Disease Physician
- Bridgeport, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 27914
- 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, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 7603 | KS | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Hospital Center, Inc. | Current | Accepting new patients | |
| United Hospital Center, Inc. | Internal Medicine | Current | 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
- 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.
-
- Internal Medicine Physician
- Bridgeport, WV
- NPI 1760965586
-
dba UHC Anesthesia Department
- Anesthesiology Physician
- Bridgeport, WV
- NPI 1235642273
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bridgeport, WV
- NPI 1184606600
-
- General Acute Care Hospital
- Morgantown, WV
- NPI 1841271459
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.