Individual provider Active NPI

John Philip Janousek, DO

  • Emergency Medicine Physician
  • Weston, WV
National Provider Identifier
1427635952
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4413 Issued in WV
Practice address
230 Hospital PLZ
Weston, WV 26452-8558
Phone
(304) 269-8000
Fax
(304) 269-8090
NPI assigned
Mar 29, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4413 WV Primary
Internal Medicine Physician 207R00000X 4413 WV

Addresses

Primary practice location

230 Hospital PLZ
Weston, WV 26452-8558

Mailing address

230 Hospital PLZ
Weston, WV 26452-8558
Phone (304) 269-8000

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
I20240926003732 WV Practitioner - Emergency Medicine 0648671727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
West Virginia School of Osteopathic Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stonewall Jackson Memorial Hospital CompanyGroup PAC ID 4284530551, 64 clinicians

Practice addresses (Care Compare)

230 Hospital PLZ
Weston, WV 26452-8558
Phone (304) 269-8000

Hospital & facility affiliations

  • Stonewall Jackson Memorial Hospital Company Hospital, Weston, WV, CCN 510038

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stonewall Jackson Memorial Hospital Company CurrentSince Aug 1, 2024 Accepting new patients
Stonewall Jackson Memorial Hospital Company CurrentSince Aug 1, 2024 Accepting new patients

Locations

230 Hospital Plz
Weston, WV 26452
Phone (304) 269-8000

Organizations & group practices 2

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 1

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": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1427635952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 HOSPITAL PLZ",
            "city": "WESTON",
            "state": "WV",
            "postal_code": "264528558",
            "telephone_number": "304-269-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 HOSPITAL PLZ",
            "city": "WESTON",
            "state": "WV",
            "postal_code": "264528558",
            "telephone_number": "304-269-8000",
            "fax_number": "304-269-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANOUSEK",
        "first_name": "JOHN",
        "middle_name": "PHILIP",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-29",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "4413",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "4413",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, WV

Sources for this page

Verify at the official NPI Registry.