Active NPI
Anthony P Dasaro, MD
- Hospitalist Physician
- Charleston, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 19826
- Practice address
- 1401 Quincy LN
Charleston, WV 25314-1618 - Phone
- (304) 415-2933
- NPI assigned
- Nov 23, 2005
- Last updated
- Sep 25, 2019
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 19826 | WV | |
| Hospitalist Physician | 208M00000X | 19826 | WV | Primary |
Addresses
Primary practice location
1401 Quincy LN
Charleston, WV 25314-1618
Mailing address
1401 Quincy LN
Charleston, WV 25314-1618
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3115319 | Medicaid | OH | |
| 7100148530 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19826 | WV | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Surgical Hospital, LLC | Current | Accepting new patients | |
| Charleston Surgical Hospital Healthcare Group, PLLC | Current | Accepting new patients | |
| Point Pleasant Physician Billing Services | Current | Accepting new patients | |
| Charleston Surgical Hospital, LLC | Current | Accepting new patients | |
| Peachtree Inpatient Consulting LLC | Hospitalist | Past | Accepting new patients |
| Kelly Medical Services Corporation LLC | Internal Medicine | Past | Accepting new patients |
| Ny Acute Care Specialists PC | Hospitalist | Past | Accepting new patients |
| Greenbrier Emergency Services, Inc. | Hospitalist | Past | Accepting new patients |
| Health Care Alliance, Inc. | Hospitalist | Past | Accepting new patients |
| Hospitalist Medicine Physicians of Charleston, PLLC | Internal Medicine | Past | Accepting new patients |
Locations
1306 Kanawha Blvd E
Charleston, WV 25301
Phone (304) 343-4371
9 Courtney Dr
Charleston, WV 25304
Phone (304) 925-3115
2520 Valley Dr
Pt Pleasant, WV 25550
Phone (304) 675-1020
2520 Valley Dr
Ste 113
Pt Pleasant, WV 25550
Phone (304) 675-1020
Interoperability endpoints
- https://api.platform.athenahealth.com/17503/brand/1/csg/1/fhir/r4
- https://fhir-usa.unify.chbase.com/org/charles-8f0482a8
Organizations & group practices 10
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.
-
- Surgery Physician
- Charleston, WV
- NPI 1285131144
-
dba Charleston Surgical Hospital
- General Acute Care Hospital
- Charleston, WV
- NPI 1104904143
-
dba CAMC Charleston Surgical Hospital
- General Acute Care Hospital
- Charleston, WV
- NPI 1669429965
-
- Multi-Specialty Clinic/Center
- PT Pleasant, WV
- NPI 1396798898
-
- Emergency Medicine Physician
- Gassaway, WV
- NPI 1568401461
Hospitalist
-
- Internal Medicine Physician
- Charleston, WV
- NPI 1760535702
-
dba Kelly Medical Corporation
- Emergency Medicine Physician
- Welch, WV
- NPI 1033154810
Internal Medicine
-
- Hospitalist Physician
- Rome, NY
- NPI 1528377892
-
- Hospitalist Physician
- Wytheville, VA
- NPI 1003059247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569369600000",
"number": "1649253550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 QUINCY LN",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253141618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 QUINCY LN",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253141618",
"telephone_number": "304-415-2933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DASARO",
"first_name": "ANTHONY",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-23",
"last_updated": "2019-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WV",
"license": "19826",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WV",
"license": "19826",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3115319",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100148530",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.