Individual provider Active NPI

Rozaleen Edward Phaltas

  • Pediatric Critical Care Medicine Physician
  • Morgantown, WV
National Provider Identifier
1437512696
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
301579 Issued in NY
Practice address
1 Medical Center Dr
Morgantown, WV 26506-1200
Phone
(855) 988-2273
NPI assigned
Apr 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 28912 NV
Pediatric Critical Care Medicine Physician 2080P0203X 32998 WV
Pediatrics Physician 208000000X 32998 WV
Pediatric Critical Care Medicine Physician 2080P0203X 301579 NY Primary
Pediatric Critical Care Medicine Physician 2080P0203X 01100727A IN
Pediatric Critical Care Medicine Physician 2080P0203X 77205 AZ
Pediatric Critical Care Medicine Physician 2080P0203X 15468 SD

Addresses

Primary practice location

1 Medical Center Dr
Morgantown, WV 26506-1200

Mailing address

1 Medical Center Dr
Morgantown, WV 26506-1200
Phone (855) 988-2273

Other practice location 1

11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 266-5400

Other practice location 2

1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 773-2112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, NY, MO, LA, TX5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20231113000342 WV Practitioner - Pediatric Medicine 5799052957 Reassigns benefits to 1 organization
I20240815003744 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 5799052957 Reassigns benefits to 2 organizations
I20250124002078 MO Practitioner - Pediatric Medicine 5799052957 Reassigns benefits to 1 organization
I20250627000104 LA Practitioner - Pediatric Medicine 5799052957 Reassigns benefits to 1 organization
I20260508003397 TX Practitioner - Pediatric Medicine 5799052957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1200 N Beaver St
Flagstaff, AZ 86001-3118

1345 Philomena St
Austin, TX 78723-3210

4900 Mueller Blvd
Austin, TX 78723-3051

635 Craig Ave
Staten Island, NY 10307-1535

9048 Sugar Est
St Thomas, VI 00802-3634

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28912NVMDPediatrics Physician
32998WVMDPediatrics Physician
77205AZMDPediatric Critical Care Medicine Physician
301579NYMDPediatric Critical Care Medicine Physician
15468SDMDPediatric Critical Care Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Charles Medical Services Family Practice Associates, LLC Family Medicine CurrentSince Apr 10, 2025 Accepting new patients
West Virginia University Medical Corporation Family Medicine Current Accepting new patients
Northern Arizona Healthcare Corporation Family Medicine CurrentSince Dec 5, 2025 Accepting new patients
New York University CurrentSince Aug 1, 2024 Accepting new patients
Flagstaff Pathology Associates Current Accepting new patients
University Hematology and Oncology CurrentSince Oct 2, 2023 Accepting new patients
Mercy Hospitals East Communities Family Medicine CurrentSince Jan 6, 2025 Accepting new patients
New York University Pediatrics CurrentSince Aug 1, 2024 Accepting new patients
Northern Arizona Healthcare Corporation CurrentSince Dec 5, 2025 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Feb 3, 2025 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Feb 3, 2025 Accepting new patients
West Virginia University Medical Corporation CurrentSince Oct 2, 2023 Accepting new patients
Mercy Hospitals East Communities CurrentSince Jan 6, 2025 Accepting new patients
Westchester County Health Care Corporation Past Accepting new patients

Locations

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

1890 W Gauthier Rd
Ste 155
Lake Charles, LA 70605
Phone (337) 477-6061

2750 Aster St
Lake Charles, LA 70601
Phone (337) 478-2650

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: rphaltas119490@nyumc.direct-ci.com
  • FHIR API: https://apps.mywvuchart.com/fhirproxy/api/FHIR/R4/

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1437512696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265061200",
            "telephone_number": "855-988-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265061200",
            "telephone_number": "855-988-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11109 Parkview Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468451701",
            "country_code": "US",
            "telephone_number": "260-266-5400",
            "fax_number": "260-425-5715",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 N Beaver St",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860013118",
            "country_code": "US",
            "telephone_number": "928-773-2112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHALTAS",
        "first_name": "ROZALEEN",
        "middle_name": "EDWARD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "28912",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "WV",
            "license": "32998",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "32998",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "NY",
            "license": "301579",
            "primary": true
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "IN",
            "license": "01100727A",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "AZ",
            "license": "77205",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "SD",
            "license": "15468",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.