Active NPI
Vlad Codrea, M.D., PH.D.
- MOHS-Micrographic Surgery Physician
- Morgantown, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- 29743
- Practice address
- Mary Babb Randolph Cancer Center
1 Medical Center Dr.
Morgantown, WV 26506 - Phone
- (304) 293-8877
- NPI assigned
- Apr 4, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | S0270 | TX | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 29743 | WV | Primary |
Addresses
Primary practice location
Mary Babb Randolph Cancer Center
1 Medical Center Dr.
Morgantown, WV 26506
Mailing address
PO Box 9152
Health Sciences Center, Room G128
Morgantown, WV 26506
Other practice location 1
Office of the Department of Dermatology
301 University Boulevard, 4.112, McCullough Building
Galveston, TX 77555-0783
Phone (409) 772-1943
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vcodrea168640@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | vcodrea168640@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | vcodrea168640@direct.wvuhsdirect.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Micrographic Dermatologic Surgery (MDS)
- Education
- University of Texas Medical Branch at Galveston, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 598-4865
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 13 |
| Removal of skin lesions | 85 |
| Removal of skin cancer | 357 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 54 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S0270 | TX | MD | MOHS-Micrographic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| Health and Education Building-Urgent Care | Current | Accepting new patients | |
| Utmb Faculty Group Practice | Dermatology | Current | Accepting new patients |
Locations
301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883
301 University Blvd
Ofc Of
Galveston, TX 77555
Phone (409) 747-1028
6040 University Town Centre Dr
Morgantown, WV 26501
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
Interoperability endpoints
- vcodrea168640@direct.wvuhsdirect.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
-
- Urgent Care Clinic/Center
- Morgantown, WV
- NPI 1942612197
-
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Morgantown, WV
- NPI 1841271459
-
- General Acute Care Hospital
- Wheeling, WV
- NPI 1104821305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649980800000",
"number": "1588059646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9152",
"address_2": "HEALTH SCIENCES CENTER, ROOM G128",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "26506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MARY BABB RANDOLPH CANCER CENTER",
"address_2": "1 MEDICAL CENTER DR.",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "26506",
"telephone_number": "304-293-8877"
}
],
"practiceLocations": [
{
"address_1": "Office of the Department of Dermatology",
"address_2": "301 University Boulevard, 4.112, McCullough Building",
"address_purpose": "LOCATION",
"city": "Galveston",
"state": "TX",
"postal_code": "775550783",
"country_code": "US",
"telephone_number": "409-772-1943",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CODREA",
"first_name": "VLAD",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-04",
"last_updated": "2022-04-15",
"certification_date": "2022-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "TX",
"license": "S0270",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "WV",
"license": "29743",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vcodrea168640@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6040 University Town Centre Dr",
"city": "Morgantown",
"state": "WV",
"country_code": "US",
"postal_code": "265012421",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vcodrea168640@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6040 University Town Centre Dr",
"city": "Morgantown",
"state": "WV",
"country_code": "US",
"postal_code": "265012421",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vcodrea168640@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6040 University Town Centre Dr",
"city": "Morgantown",
"state": "WV",
"country_code": "US",
"postal_code": "265012421",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.