NPIMap

Organization Active NPI

Patient Transportation Inc

  • Non-emergency Medical Transport (VAN)
  • Martinsburg, WV
National Provider Identifier
1710313622
Registry record updated Dec 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
1107746808 Issued in WV
Legal business name
PATIENT TRANSPORTATION INC
Practice address
1927 Rock Cliff Dr
Martinsburg, WV 25401-2883
Phone
(304) 264-0119
NPI assigned
Sep 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2017

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

Authorized official

Name
Mr. Abdollah Khani Hadavand
Title
President
Phone
(304) 279-3953

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 60268 WV
Non-emergency Medical Transport (VAN) 343900000X 1107746808 WV Primary

Addresses

Primary practice location

1927 Rock Cliff Dr
Martinsburg, WV 25401-2883

Mailing address

1927 Rock Cliff Dr
Martinsburg, WV 25401-2883
Phone (304) 264-0119

Other identifiers 3

IdentifierTypeStateIssuer
Q467000001OtherWVMEDICARE PTAN
3910005897MedicaidWV
9030043000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140617002372 WV Part B Supplier - Ambulance Service Supplier 6901020775 Practice locations: Martinsburg, WV

National Provider Directory

National Provider Directory

Locations

1927 Rock Cliff Dr
Martinsburg, WV 25401
Phone (304) 264-0119

2000 Foundation Way
Ste 2100
Martinsburg, WV 25401
Phone (304) 264-0119

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512950400000",
    "number": "1710313622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1927 ROCK CLIFF DR",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012883",
            "telephone_number": "304-264-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 ROCK CLIFF DR",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012883",
            "telephone_number": "304-264-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT TRANSPORTATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-24",
        "last_updated": "2017-12-11",
        "status": "A",
        "authorized_official_last_name": "HADAVAND",
        "authorized_official_first_name": "ABDOLLAH",
        "authorized_official_middle_name": "KHANI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-279-3953",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WV",
            "license": "60268",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "WV",
            "license": "1107746808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Q467000001",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3910005897",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9030043000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.