Individual provider Active NPI

Sohrab Shahab, M.D.

  • Otolaryngology Physician
  • Martinsburg, WV
National Provider Identifier
1649477662
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
22519 Issued in WV
Practice address
2000 Foundation Way Ste 3200
Martinsburg, WV 25401-9199
Phone
(304) 262-9400
Fax
(304) 262-9407
NPI assigned
Jul 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 22519 WV Primary

Addresses

Primary practice location

2000 Foundation Way Ste 3200
Martinsburg, WV 25401-9199

Mailing address

2500 Foundation Way
Martinsburg, WV 25401-9000
Phone (304) 264-9202

Other identifiers 2

IdentifierTypeStateIssuer
P00966070OtherWVRAIL ROAD MEDICARE
3810015090MedicaidWV

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sshahab4165@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address sshahab4165@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090807000258 WV Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 5092868190 Reassigns benefits to 2 organizations
I20260207000317 VA Practitioner - Otolaryngology 5092868190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 598-4865

2500 Hospital Dr
Martinsburg, WV 25401-3402
Phone (304) 264-1000

650 Cedar Creek Grade
Suite 100
Winchester, VA 22601-6453
Phone (540) 535-0000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wvu Medical Corporation CurrentSince Jan 1, 2023 Accepting new patients
University Healthcare Physicians, Inc. CurrentSince Jan 1, 2013 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jan 1, 2023 Accepting new patients
University Healthcare Physicians Inc CurrentSince Jan 1, 2013 Accepting new patients
West Virginia University Medical Corporation Otolaryngology CurrentSince Dec 15, 2025 Accepting new patients
University Healthcare Physicians, Inc. PastSince Nov 6, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

920 N Shenandoah Ave
Ste 202
Front Royal, VA 22630
Phone (540) 535-0000

650 Cedar Creek Grade
Ste 100
Winchester, VA 22601
Phone (540) 535-0000

2000 Foundation Way
Ste 3100
Martinsburg, WV 25401
Phone (304) 260-1436

202 Foxcroft Ave
Martinsburg, WV 25401
Phone (304) 215-1247

2000 Foundation Way
Ste 3200
Martinsburg, WV 25401
Phone (304) 262-9400

2500 Foundation Way
Martinsburg, WV 25401
Phone (304) 264-9202

2000 Foundation Way
Ste 3400
Martinsburg, WV 25401
Phone (304) 264-4090

2000 Foundation Way
Martinsburg, WV 25401
Phone (304) 260-1436

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

211 E 5th Ave
Ranson, WV 25438
Phone (304) 262-9400

Interoperability endpoints

  • Direct secure messaging: sshahab4165@direct.wvuhsdirect.com

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1649477662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 FOUNDATION WAY",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254019000",
            "telephone_number": "304-264-9202",
            "fax_number": "304-264-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 FOUNDATION WAY STE 3200",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254019199",
            "telephone_number": "304-262-9400",
            "fax_number": "304-262-9407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHAB",
        "first_name": "SOHRAB",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-02",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WV",
            "license": "22519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00966070",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810015090",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sshahab4165@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2000 Foundation Way",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254019003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sshahab4165@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2000 Foundation Way Ste 3200",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254019199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.