Individual provider Active NPI

Payam Fallahi, M.D.

  • Interventional Cardiology Physician
  • Hagerstown, MD
National Provider Identifier
1457516544
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
D0070466 Issued in MD
Practice address
1733 Howell Rd
Hagerstown, MD 21740-6638
Phone
(301) 797-2525
Fax
(301) 797-5519
NPI assigned
Jul 28, 2008
Sex
Male
Sole proprietor
No

Organizations & group practices 18

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 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Emory University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Potomac Valley Hospital of W VA , Inc 90 clinicians
West Virginia University Medical Corporation 1,974 clinicians

Practice addresses (Care Compare)

100 Pin Oak LN
Keyser, WV 26726-5908
Phone (304) 597-3500

13 Western Maryland Pkwy
106 Wvu Medicine Brain and Spine
Hagerstown, MD 21740-6474
Phone (240) 513-4591

2000 Foundation Way
Suite 3100
Martinsburg, WV 25401-9198
Phone (304) 350-3273

650 Cedar Creek Grade
Suite 100
Winchester, VA 22601-6453
Phone (540) 535-0000

Hospital & facility affiliations

  • Berkeley Medical Center Hospital, Martinsburg, WV, CCN 510008
  • Jefferson Medical Center Hospital, Ranson, WV, CCN 511319
  • Potomac Valley Hospital Hospital, Keyser, WV, CCN 511315
  • Winchester Medical Center Hospital, Winchester, VA, CCN 490005

Merit-based Incentive Payment System (MIPS)

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

Merit-based Incentive Payment System (MIPS)

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, WV, VA3 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.

Medicare enrollment records 3

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20100806000097 MD Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 7315070646 Reassigns benefits to 3 organizations
I20200824002252 WV Practitioner - Interventional Cardiology 7315070646 Reassigns benefits to 4 organizations
I20210421001572 VA Practitioner - Interventional Cardiology 7315070646 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0070466MDMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Western Maryland Corporation Cardiovascular Disease Current Accepting new patients
West Virginia University Medical Corporation CurrentSince Jun 22, 2020 Accepting new patients
University Hematology and Oncology CurrentSince Jun 22, 2020 Accepting new patients
Potomac Valley Hospital of W VA , Inc CurrentSince Apr 10, 2022 Accepting new patients
Wheeling Hospital Inc Cardiovascular Disease CurrentSince Aug 23, 2023 Accepting new patients
West Virginia University Medical Corporation CurrentSince Oct 19, 2020 Accepting new patients
Potomac Valley Hospital of W VA , Inc Current Accepting new patients
Upmc Western Maryland Corporation CurrentSince Apr 20, 2020 Accepting new patients
Specialty Physicians of Garrett County, LLC CurrentSince Sep 1, 2023 Accepting new patients
Specialty Physicians of Garrett County, LLC CurrentSince Sep 1, 2023 Accepting new patients
Potomac Valley Hospital of WV, Inc. CurrentSince Apr 10, 2022 Accepting new patients
Upmc Western Maryland Corporation CurrentSince Apr 20, 2020 Accepting new patients
Upmc Western Maryland Health Services, LLC Cardiovascular Disease Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

12502 Willowbrook Rd
Ste 470
Cumberland, MD 21502
Phone (240) 964-8724

13 Western Maryland Pkwy
Ste 106
Hagerstown, MD 21740
Phone (240) 513-4591

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

1313 National Hwy
Lavale, MD 21502
Phone (240) 362-0288

255 N 4th St
Ste 2
Oakland, MD 21550
Phone (301) 334-8282

880 Memorial Dr
Lowr Level
Oakland, MD 21550
Phone (301) 334-1177

251 N 4th St
Oakland, MD 21550
Phone (301) 533-4000

920 N Shenandoah Ave
Ste 202
Front Royal, VA 22630
Phone (540) 535-0000

650 Cedar Creek Grade
Ste 100
Winchester, VA 22601
Phone (540) 535-0000

100 Pin Oak Ln
Ste 3
Keyser, WV 26726
Phone (304) 597-3790

100 Pin Oak Ln
Keyser, WV 26726
Phone (304) 597-3500

2000 Foundation Way
Martinsburg, WV 25401
Phone (304) 260-1436

2000 Foundation Way
Ste 3100
Martinsburg, WV 25401
Phone (304) 260-1436

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

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

Interoperability endpoints

  • Direct secure messaging: pfallahi178492@direct.wvuhsdirect.com
  • FHIR API: https://apps.mywvuchart.com/fhirproxy/api/FHIR/R4/

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD036037 DC
Cardiovascular Disease Physician 207RC0000X D0070466 MD
Interventional Cardiology Physician 207RI0011X D0070466 MD Primary

Addresses

NPPES NPI Registry

Primary practice location

1733 Howell Rd
Hagerstown, MD 21740-6638

Mailing address

1733 Howell Rd
Hagerstown, MD 21740-6638
Phone (301) 797-2525

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
S704HAOtherMDCAREFIRST BC/BS

Electronic endpoints 5

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address pfallahi178492@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address pfallahi178492@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address pfallahi178492@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address pfallahi178492@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address pfallahi178492@direct.wvuhsdirect.com Health Information Exchange (HIE)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 7, 2022.

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1457516544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1733 HOWELL RD",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406638",
            "telephone_number": "301-797-2525",
            "fax_number": "301-797-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1733 HOWELL RD",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406638",
            "telephone_number": "301-797-2525",
            "fax_number": "301-797-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLAHI",
        "first_name": "PAYAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-28",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "DC",
            "license": "MD036037",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0070466",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MD",
            "license": "D0070466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC/BS",
            "identifier": "S704HA",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pfallahi178492@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2000 Foundation Way",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254019003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pfallahi178492@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2000 Foundation Way",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254019003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pfallahi178492@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2000 Foundation Way",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254019003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pfallahi178492@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2000 Foundation Way",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254019003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pfallahi178492@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2000 Foundation Way",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254019003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.