Individual provider Active NPI

Krishna R Urval, MD

  • Allergy & Immunology Physician
  • Wheeling, WV
National Provider Identifier
1669582235
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
WV16677 Issued in WV
Practice address
40 Medical Park Ste 505
Wheeling, WV 26003-6392
Phone
(304) 234-8912
Fax
(304) 234-8218
NPI assigned
Aug 30, 2006
Last updated
Mar 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X WV16677 WV Primary

Addresses

Primary practice location

40 Medical Park Ste 505
Wheeling, WV 26003-6392

Mailing address

2101 Jacob St
Ste 601
Wheeling, WV 26003
Phone (304) 234-8912

Other identifiers 1

IdentifierTypeStateIssuer
0107085000MedicaidWV

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120328000337 WV Practitioner - Allergy/Immunology 2860460151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Valley Asthma and Allergy Institute IncGroup PAC ID 2961470257, 2 clinicians

Practice addresses (Care Compare)

1021 Mount de Chantal Rd
Suite 100
Wheeling, WV 26003-6328
Phone (304) 234-8912

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
WV16677WVMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Valley Asthma & Allergy Institute Inc Allergy & Immunology CurrentSince Jul 1, 1990 Accepting new patients
Washington Ear, Nose and Throat, LLC Past Accepting new patients

Locations

4000 Johnson Rd
Fl 1
Steubenville, OH 43952
Phone (614) 266-6622

95 Leonard Ave
Ste 500
Washington, PA 15301
Phone (724) 225-8995

1021 Mount de Chantal Rd
#100
Wheeling, WV 26003
Phone (304) 234-8912

2101 Jacob St
Ste 601
Wheeling, WV 26003
Phone (304) 234-8912

40 Medical Park
Ste 505
Wheeling, WV 26003
Phone (304) 232-4764

Interoperability endpoints

  • Direct secure messaging: kurval18695@prd.direct.tbh.org

Organizations & group practices 2

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1669582235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 JACOB ST",
            "address_2": "STE 601",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "26003",
            "telephone_number": "304-234-8912",
            "fax_number": "304-234-8218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MEDICAL PARK STE 505",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036392",
            "telephone_number": "304-234-8912",
            "fax_number": "304-234-8218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URVAL",
        "first_name": "KRISHNA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "WV",
            "license": "WV16677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0107085000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.