NPIMap

Individual provider Active NPI

Ahmed M Sakkal, MD

  • Cardiovascular Disease Physician
  • Charleston, WV
National Provider Identifier
1508848227
Registry record updated Aug 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
16395 Issued in WV
Practice address
331 Laidley St
Suite 406
Charleston, WV 25301-1619
Phone
(304) 344-0186
Fax
(304) 344-0188
NPI assigned
Nov 17, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 16395 WV Primary

Addresses

Primary practice location

331 Laidley St
Suite 406
Charleston, WV 25301-1619

Mailing address

331 Laidley St
Suite 406
Charleston, WV 25301-1619
Phone (304) 344-0186

Other identifiers 1

IdentifierTypeStateIssuer
1801046000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051221000566 WV Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9133152051 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charleston Area Medical Center IncGroup PAC ID 3375441637, 969 clinicians

Practice addresses (Care Compare)

1220 Lee St E
Charleston, WV 25301-1864

1400 Hospital Dr
Hurricane, WV 25526-9202
Phone (304) 757-1700

3100 Maccorkle Ave SE
Charleston, WV 25304-1222

3200 Maccorkle Ave SE
Charleston, WV 25304-1227
Phone (304) 388-5432

331 Laidley St
Charleston, WV 25301-1605
Phone (304) 344-0186

400 Association Dr
Suite 102
Charleston, WV 25311-1298

415 Morris St
Charleston, WV 25301-1853

4610 Maccorkle Ave SW
Suite 301
South Charleston, WV 25309-1312
Phone (304) 720-8701

501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-5432

800 Pennsylvania Ave
Charleston, WV 25302-3351
Phone (304) 388-5432

Hospital & facility affiliations

  • Charleston Area Medical Center Hospital, Charleston, WV, CCN 510022
  • Thomas Memorial Hospital Hospital, South Charleston, WV, CCN 510029
  • Camc Greenbrier Valley Medical Center, Inc Hospital, Ronceverte, WV, CCN 510002
  • Raleigh General Hospital Hospital, Beckley, WV, CCN 510070
  • Camc Plateau Medical Center, Inc Hospital, Oak Hill, WV, CCN 511317

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 Medicine

State licenses

LicenseStateTypeSpecialty
16395OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center Inc CurrentSince Mar 25, 1994 Accepting new patients
Charleston Heart Clinic, Inc. CurrentSince Jul 14, 2000 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Mar 25, 1994 Accepting new patients
Kanawha Medical Clinic PastSince Jul 14, 2000 Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients

Locations

333 Laidley St
Charleston, WV 25301
Phone (304) 347-6116

331 Laidley St
Ste 406
Charleston, WV 25301
Phone (304) 344-0186

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

415 Morris St
#304
Charleston, WV 25301
Phone (304) 344-0186

Organizations & group practices 5

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408665600000",
    "number": "1508848227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 LAIDLEY ST",
            "address_2": "SUITE 406",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011619",
            "telephone_number": "304-344-0186",
            "fax_number": "304-344-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 LAIDLEY ST",
            "address_2": "SUITE 406",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011619",
            "telephone_number": "304-344-0186",
            "fax_number": "304-344-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKKAL",
        "first_name": "AHMED",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2014-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WV",
            "license": "16395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801046000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.