Individual provider Active NPI

Walter Neal Taubenslag, M.D.

  • Urology Physician
  • Wheeling, WV
National Provider Identifier
1699766923
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
14389 Issued in WV
Practice address
20 Medical Park
Suite 201
Wheeling, WV 26003-6390
Phone
(304) 243-1412
Fax
(304) 243-1414
NPI assigned
Nov 4, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 14389 WV Primary

Addresses

Primary practice location

20 Medical Park
Suite 201
Wheeling, WV 26003-6390

Mailing address

20 Medical Park
Suite 201
Wheeling, WV 26003-6390
Phone (304) 243-1412

Other identifiers 3

IdentifierTypeStateIssuer
TA0613792OtherWVMEDICARE ID NUMBER
2526681MedicaidOH
0130237000MedicaidWV

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
I20040927000515 WV Practitioner - Urology 9537138672 Reassigns benefits to 1 organization
Practice locations: Wheeling, WV

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Maryland School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wheeling Hospital IncGroup PAC ID 5799689493, 433 clinicians

Practice addresses (Care Compare)

20 Medical Park
Suite 301
Wheeling, WV 26003-6390
Phone (304) 243-7074

Hospital & facility affiliations

  • Wheeling Hospital, Inc Hospital, Wheeling, WV, CCN 510050

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wheeling Hospital Inc CurrentSince Jan 1, 2019 Accepting new patients
Valley Urology, L.L.C. Urology Past Accepting new patients

Locations

3 E Benjamin Dr
North Martinsvlle, WV 26155
Phone (304) 455-8000

20 Medical Park
Ste 201
Wheeling, WV 26003
Phone (304) 243-1412

20 Medical Park
Ste 301
Wheeling, WV 26003
Phone (304) 242-7801

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

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 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": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1699766923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MEDICAL PARK",
            "address_2": "SUITE 201",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036390",
            "telephone_number": "304-243-1412",
            "fax_number": "304-243-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MEDICAL PARK",
            "address_2": "SUITE 201",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036390",
            "telephone_number": "304-243-1412",
            "fax_number": "304-243-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAUBENSLAG",
        "first_name": "WALTER",
        "middle_name": "NEAL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WV",
            "license": "14389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID NUMBER",
            "identifier": "TA0613792",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2526681",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0130237000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.