NPIMap

Individual provider Active NPI

Bassam Moushmoush, MD

  • Cardiovascular Disease Physician
  • Charleston, WV
National Provider Identifier
1619961232
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
16432 Issued in WV
Practice address
331 Laidley St
Suite 331
Charleston, WV 25301-1619
Phone
(304) 347-2042
Fax
(304) 347-2091
NPI assigned
Sep 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 16432 WV Primary

Addresses

Primary practice location

331 Laidley St
Suite 331
Charleston, WV 25301-1619

Mailing address

1211 Hospital Dr
Hurricane, WV 25526-8707
Phone (304) 757-4694

Other identifiers 1

IdentifierTypeStateIssuer
0073986000MedicaidWV

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
I20100415000425 WV Practitioner - Cardiovascular Disease (Cardiology) 9032259858 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Consultants PLLCGroup PAC ID 6406996222, 2 clinicians

Practice addresses (Care Compare)

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

331 Laidley St
Charleston, WV 25301-1605
Phone (304) 347-2042

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.86 of 100Reported as group
Quality
59.07
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting32

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center Inc CurrentSince Jan 24, 2000 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Jan 24, 2000 Accepting new patients
Cardiovascular Consultants PLLC Cardiovascular Disease CurrentSince Aug 1, 1999 Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients

Locations

3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550

331 Laidley St
Ste 402
Charleston, WV 25301
Phone (304) 347-2042

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

1211 Hospital Dr
Hurricane, WV 25526
Phone (304) 586-0771

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1619961232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 HOSPITAL DR",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255268707",
            "telephone_number": "304-757-4694",
            "fax_number": "304-757-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 LAIDLEY ST",
            "address_2": "SUITE 331",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011619",
            "telephone_number": "304-347-2042",
            "fax_number": "304-347-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSHMOUSH",
        "first_name": "BASSAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WV",
            "license": "16432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0073986000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.