Individual provider Active NPI

Dhurba Prasad Dhungana, MD

  • Sports Medicine (Family Medicine) Physician
  • Charles Town, WV
National Provider Identifier
1689179822
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
33552 Issued in WV
Practice address
912 Somerset Blvd Ste 101
Charles Town, WV 25414-3954
Phone
(304) 725-2663
NPI assigned
Mar 29, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME149222 FL
Sports Medicine (Family Medicine) Physician 207QS0010X MD478645 PA
Sports Medicine (Family Medicine) Physician 207QS0010X 33552 WV Primary

Addresses

Primary practice location

912 Somerset Blvd Ste 101
Charles Town, WV 25414-3954

Mailing address

154 Hospital Dr Ste 4
Tyrone, PA 16686-1829

Other practice location 1

154 Hospital Dr Ste 4
Tyrone, PA 16686-1829
Phone (814) 684-1255

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
I20240522002936 WV Practitioner - Sports Medicine 2961767389 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City Hospital Inc 155 clinicians
West Virginia University Medical Corporation 1,974 clinicians

Practice addresses (Care Compare)

61 Campus Dr
Suite 104
Martinsburg, WV 25404-7542
Phone (304) 725-2663

912 Somerset Blvd
Suite 101
Charles Town, WV 25414-3954
Phone (304) 725-2663

Hospital & facility affiliations

  • Berkeley Medical Center Hospital, Martinsburg, WV, CCN 510008

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME149222FLMDFamily Medicine Physician
33552WVMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tyrone Hospital CurrentSince Nov 1, 2022 Accepting new patients
Tyrone Hospital Family Medicine CurrentSince Nov 1, 2022 Accepting new patients
West Virginia University Medical Corporation Family Medicine CurrentSince May 8, 2024 Accepting new patients
West Virginia University Medical Corporation CurrentSince May 8, 2024 Accepting new patients
Tyrone Hospital Current Accepting new patients
City Hospital, Inc. Family Medicine PastSince Mar 23, 2026 Accepting new patients
City Hospital Inc Past Accepting new patients

Locations

154 Hospital Dr
Ste 4
Tyrone, PA 16686
Phone (814) 643-8750

187 Hospital Dr
Tyrone, PA 16686
Phone (814) 342-2333

912 Somerset Blvd
Ste 101
Charles Town, WV 25414
Phone (304) 724-2663

61 Campus Dr
Ste 130
Martinsburg, WV 25404
Phone (304) 725-2663

61 Campus Dr
Ste 104
Martinsburg, WV 25404
Phone (304) 596-5615

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

Interoperability endpoints

  • Direct secure messaging: ddhungana850135@direct.hopkinsmedicine.org

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1689179822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 HOSPITAL DR STE 4",
            "city": "TYRONE",
            "state": "PA",
            "postal_code": "166861829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 SOMERSET BLVD STE 101",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254143954",
            "telephone_number": "304-725-2663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "154 Hospital Dr Ste 4",
            "address_purpose": "LOCATION",
            "city": "Tyrone",
            "state": "PA",
            "postal_code": "166861829",
            "country_code": "US",
            "telephone_number": "814-684-1255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DHUNGANA",
        "first_name": "DHURBA",
        "middle_name": "PRASAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-29",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME149222",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "PA",
            "license": "MD478645",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "WV",
            "license": "33552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charles Town, WV

Sources for this page

Verify at the official NPI Registry.