Active NPI
Badshah J. Wazir, M.D., F.A.C.C.
- Specialist
- South Charleston, WV
National Provider Identifier
1578620696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 11277
- Practice address
- 428 Division St
South Charleston, WV 25309-1469 - Phone
- (304) 766-7400
- Fax
- (304) 766-7446
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 11277 | WV | Primary |
Addresses
Primary practice location
428 Division St
South Charleston, WV 25309-1469
Mailing address
118 E Ridge Rd
Charleston, WV 25314-1666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0087269000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11277 | WV | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Area Medical Center, Inc. | Current | Accepting new patients |
Locations
501 Morris St
Charleston, WV 25301
Phone (304) 348-6293
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1124248752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346112000000",
"number": "1578620696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 E RIDGE RD",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253141666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428 DIVISION ST",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "253091469",
"telephone_number": "304-766-7400",
"fax_number": "304-766-7446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAZIR",
"first_name": "BADSHAH",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D., F.A.C.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2012-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WV",
"license": "11277",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0087269000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.