NPIMap

Individual provider Active NPI

Jamal Iskandar Sahyouni, MD

  • Internal Medicine Physician
  • Richlands, VA
National Provider Identifier
1649261090
Registry record updated May 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101 046869 Issued in VA
Practice address
6719 Gov.G.C.Perry Hwy
Clinch Valley Medical Plaza Suite 1600
Richlands, VA 24641-1100
Phone
(276) 596-9510
Fax
(276) 596-9512
NPI assigned
Nov 3, 2005
Last updated
May 26, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101 046869 VA Primary

Addresses

Primary practice location

6719 Gov.G.C.Perry Hwy
Clinch Valley Medical Plaza Suite 1600
Richlands, VA 24641-1100

Mailing address

6719 Gov.G.C.Perry Hwy
Clinch Valley Medical Plaza Suite 1600
Richlands, VA 24641-1100
Phone (276) 596-9510

Other identifiers 1

IdentifierTypeStateIssuer
1073745840MedicaidVA

Other names 1

  • Dr. None None None Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20091211000046 VA Practitioner - Internal Medicine 1850287277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

6719 Governor GC Peery Hwy
Suite 3600
Richlands, VA 24641-2490
Phone (276) 596-6764

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101 046869VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinch Professional Physician Services LLC CurrentSince Jan 1, 2017 Accepting new patients
Clinch Professional Physician Services LLC CurrentSince Jan 1, 2017 Accepting new patients
Clinch Valley Urology, LLC Past Accepting new patients
Clinch Valley Physicians Inc PastSince Apr 30, 2003 Accepting new patients

Locations

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

6719 Governor Gc Peery Hwy
Ste 2450
Richlands, VA 24641
Phone (276) 596-6786

6719 Governor Gc Peery Hwy
Ste 3600
Richlands, VA 24641
Phone (276) 596-6764

Interoperability endpoints

  • Direct secure messaging: jamal.sahyouni.1@19847.direct.athenahealth.com
  • Direct secure messaging: jamal.sahyouni@vab.hcadirect.net

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 4

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": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274832000000",
    "number": "1649261090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6719 GOV.G.C.PERRY HWY",
            "address_2": "CLINCH VALLEY MEDICAL PLAZA SUITE 1600",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "246411100",
            "telephone_number": "276-596-9510",
            "fax_number": "276-596-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6719 GOV.G.C.PERRY HWY",
            "address_2": "CLINCH VALLEY MEDICAL PLAZA SUITE 1600",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "246411100",
            "telephone_number": "276-596-9510",
            "fax_number": "276-596-9512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHYOUNI",
        "first_name": "JAMAL",
        "middle_name": "ISKANDAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2010-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101 046869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073745840",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NONE",
            "last_name": "NONE",
            "middle_name": "NONE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Richlands, VA

Sources for this page

Verify at the official NPI Registry.