Individual provider Active NPI

Dino James Delaportas, M.D.

  • Infectious Disease Physician
  • Bridgeport, WV
National Provider Identifier
1639124159
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
22140 Issued in WV
Practice address
11 Point of VW
Bridgeport, WV 26330
Phone
(304) 641-1822
Fax
(304) 250-9933
NPI assigned
May 23, 2006
Last updated
Jan 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 22140 WV Primary

Addresses

Primary practice location

11 Point of VW
Bridgeport, WV 26330

Mailing address

11 Point of VW
Bridgeport, WV 26330-1082
Phone (304) 641-1822

Other practice location 1

527 Medical Park Dr
Suite 204
Bridgeport, WV 26330-9008
Phone (304) 933-3800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070220000193 WV Practitioner - Infectious DiseasePractitioner - Internal Medicine 9537261706 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mountainstate Infectious Disease PLLCGroup PAC ID 5991044653, 2 clinicians

Practice addresses (Care Compare)

150 Memorial Dr
Kingwood, WV 26537-1141
Phone (304) 329-1400

215 W Main St
Suite B
Bridgeport, WV 26330-1888
Phone (304) 641-1822

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
58.56 of 100Reported as individual
Quality
71.35
Improvement activities
0
Cost
72.71

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22140WVMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountainstate Infectious Disease, PLLC Infectious Disease CurrentSince Jan 1, 2019 Accepting new patients
Monongalia County General Hospital Company CurrentSince Nov 10, 2020 Accepting new patients
North Central WV Hospitalists PLLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Monongalia County General Hospital Company Past Accepting new patients
Premier Medical Group, Inc. Past Accepting new patients
Premier Medical Group, Inc. Past Accepting new patients

Locations

215 W Main St
Bridgeport, WV 26330
Phone (304) 842-6645

215 W Main St
Ste B
Bridgeport, WV 26330
Phone (301) 641-1822

150 Memorial Dr
Kingwood, WV 26537
Phone (304) 329-4701

1200 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-1460

3000 Mon Health Medical Park Dr
Ste 3201
Morgantown, WV 26505
Phone (304) 285-1460

600 Suncrest Town Centre Dr
Ste 310
Morgantown, WV 26505
Phone (304) 598-2200

Organizations & group practices 7

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 6

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1639124159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 POINT OF VW",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301082",
            "telephone_number": "304-641-1822",
            "fax_number": "304-250-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 POINT OF VW",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "26330",
            "telephone_number": "304-641-1822",
            "fax_number": "304-250-9933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "527 Medical Park Dr",
            "address_2": "Suite 204",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "WV",
            "postal_code": "263309008",
            "country_code": "US",
            "telephone_number": "304-933-3800",
            "fax_number": "304-933-3815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELAPORTAS",
        "first_name": "DINO",
        "middle_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "WV",
            "license": "22140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, WV

Sources for this page

Verify at the official NPI Registry.