NPIMap

Individual provider Active NPI

Gabor Altdorfer I, M.D.

  • Therapeutic Radiology Physician
  • Parkersburg, WV
National Provider Identifier
1619082112
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Therapeutic Radiology PhysicianTaxonomy code 2085R0203X
License
23294 Issued in WV
Practice address
705 Garfield Ave
Medical Office BLDG. B., Suite 180
Parkersburg, WV 26101-5444
Phone
(740) 274-0790
Fax
(304) 424-2717
NPI assigned
Aug 21, 2006
Last updated
Sep 25, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Therapeutic Radiology Physician 2085R0203X 23294 WV Primary

Addresses

Primary practice location

705 Garfield Ave
Medical Office BLDG. B., Suite 180
Parkersburg, WV 26101-5444

Mailing address

PO Box 718
Medical Office BLDG. B., Suite 180
Parkersburg, WV 26102-0718
Phone (740) 274-0790

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
I20081231000099 WV Practitioner - Radiation Oncology 0345226742 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

705 Garfield Ave
Suite 180
Parkersburg, WV 26101-5444
Phone (304) 424-2744

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Feb 24, 2018 Accepting new patients
West Virginia University Medical Corporation CurrentSince Feb 24, 2018 Accepting new patients
Oncologics, Inc. Past Accepting new patients
Camden Clark Memorial Hospital Corporation Past Accepting new patients
Deland and Harwood Crowley Partnership Past Accepting new patients

Locations

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

705 Garfield Ave
Ofc
Parkersburg, WV 26101
Phone (740) 274-0790

705 Garfield Ave
Ste 180
Parkersburg, WV 26101
Phone (304) 422-1430

705 Garfield Ave
Ste 220
Parkersburg, WV 26101
Phone (304) 424-2276

800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161

800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405

Interoperability endpoints

  • Direct secure messaging: galtdorfer108752@direct.wvuhsdirect.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1619082112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 718",
            "address_2": "MEDICAL OFFICE BLDG. B., SUITE 180",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261020718",
            "telephone_number": "740-274-0790",
            "fax_number": "304-424-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 GARFIELD AVE",
            "address_2": "MEDICAL OFFICE BLDG. B., SUITE 180",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261015444",
            "telephone_number": "740-274-0790",
            "fax_number": "304-424-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTDORFER",
        "first_name": "GABOR",
        "name_suffix": "I",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "WV",
            "license": "23294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

Verify at the official NPI Registry.