Active NPI
Sam J Badran, MD
- Gynecology Physician
- Point Pleasant, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 30366
- Practice address
- 2520 Valley Dr
Point Pleasant, WV 25550-2092 - Phone
- (304) 675-4340
- Fax
- (304) 675-6911
- NPI assigned
- Jun 3, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 30366 | WV | Primary |
Addresses
Primary practice location
2520 Valley Dr
Point Pleasant, WV 25550-2092
Mailing address
4433 Roslyn Rd
Downers Grove, IL 60515-5804
Phone (773) 818-2692
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210629001375 | WV | Practitioner - Obstetrics/Gynecology | 4284035213 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Point Pleasant Physician Billing Services
Practice addresses (Care Compare)
2520 Valley Dr
PT Pleasant, WV 25550-2031
Phone 30467543401249
Hospital & facility affiliations
- Rivers Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30366 | WV | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Point Pleasant Physician Billing Services | Current | Accepting new patients |
Locations
2520 Valley Dr
Ste 113
Pt Pleasant, WV 25550
Phone (304) 675-1020
2520 Valley Dr
Pt Pleasant, WV 25550
Phone (304) 675-1020
Interoperability endpoints
- sam.badron@pvhhealth.direct.wvhin.org
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.
-
- Multi-Specialty Clinic/Center
- PT Pleasant, WV
- NPI 1396798898
WV
Hospital & facility affiliations 1
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": "1622678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622678400000",
"number": "1639745201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4433 ROSLYN RD",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605155804",
"telephone_number": "773-818-2692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 VALLEY DR",
"city": "POINT PLEASANT",
"state": "WV",
"postal_code": "255502092",
"telephone_number": "304-675-4340",
"fax_number": "304-675-6911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BADRAN",
"first_name": "SAM",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-03",
"last_updated": "2021-06-03",
"certification_date": "2021-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "WV",
"license": "30366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Point Pleasant, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.