Individual provider Active NPI

Anthony P Dasaro, MD

  • Hospitalist Physician
  • Charleston, WV
National Provider Identifier
1649253550
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
19826 Issued in WV
Practice address
1401 Quincy LN
Charleston, WV 25314-1618
Phone
(304) 415-2933
NPI assigned
Nov 23, 2005
Last updated
Sep 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3115319MedicaidOH
7100148530MedicaidKY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070124000679 WV Practitioner - Internal MedicinePractitioner - Emergency Medicine 5092716662 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19826WVMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Surgical Hospital, LLC CurrentSince Nov 2, 2020 Accepting new patients
Charleston Surgical Hospital Healthcare Group, PLLC CurrentSince Nov 2, 2020 Accepting new patients
Point Pleasant Physician Billing Services CurrentSince Jan 1, 2020 Accepting new patients
Charleston Surgical Hospital, LLC CurrentSince Nov 2, 2020 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

  • FHIR API: https://api.platform.athenahealth.com/17503/brand/1/csg/1/fhir/r4
  • FHIR API: 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.

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

Verify at the official NPI Registry.