Individual provider Active NPI

Alberta Jane Maloof, M.D.

  • Diagnostic Radiology Physician
  • South Charleston, WV
National Provider Identifier
1720080906
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
19043 Issued in WV
Practice address
4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone
(304) 766-3600
Fax
(304) 343-4626
NPI assigned
Jun 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 19043 WV Primary

Addresses

Primary practice location

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311

Mailing address

PO Box 840
Lima, OH 45802-0840
Phone (877) 574-7116

Other practice location 1

333 Laidley St
Charleston, WV 25301-1614
Phone (304) 347-6500

Other practice location 2

4800 MacCorkle Ave SW
South Charleston, WV 25309-1332
Phone (304) 767-7730

Other practice location 3

2520 Valley Dr
Point Pleasant, WV 25550-2031
Phone (304) 675-4340

Other identifiers 3

IdentifierTypeStateIssuer
0440737MedicaidOH
001718795OtherWVBLUE CROSS
0122650000MedicaidWV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jane.maloof@pvhhealth.direct.wvhin.org

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
I20100112000227 WV Practitioner - Diagnostic Radiology 0446330971 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Virginia Radiology Associates PCGroup PAC ID 9133666431, 91 clinicians

Practice addresses (Care Compare)

1810 Loudon Heights Rd
Charleston, WV 25314-1565
Phone (469) 757-1042

Hospital & facility affiliations

  • Charleston Area Medical Center Hospital, Charleston, WV, CCN 510022
  • Camc Greenbrier Valley Medical Center, Inc Hospital, Ronceverte, WV, CCN 510002
  • Camc Plateau Medical Center, Inc Hospital, Oak Hill, WV, CCN 511317
  • Camc Charleston Surgical Hospital Hospital, Charleston, WV, CCN 510091
  • Thomas Memorial Hospital Hospital, South Charleston, WV, CCN 510029

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.77 of 100Reported as group
Quality
57.54
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19043WVMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia Radiology Associates PC Diagnostic Radiology CurrentSince Nov 10, 2024 Accepting new patients
Montgomery General Hospital, Inc CurrentSince Feb 5, 2019 Accepting new patients
Kanawha Valley Radiologists Incorporated Diagnostic Radiology CurrentSince Oct 1, 2000 Accepting new patients
Montgomery General Hospital, Inc CurrentSince Feb 5, 2019 Accepting new patients
Raleigh Radiology Inc. Diagnostic Radiology PastSince May 18, 2025 Accepting new patients
Medical Sonoimaging, LLC Past Accepting new patients

Locations

333 Laidley St
Charleston, WV 25301
Phone (304) 347-6116

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

401 6th Ave
Montgomery, WV 25136
Phone (304) 442-5151

2520 Valley Dr
Pt Pleasant, WV 25550
Phone (304) 675-1020

4800 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 306-3049

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

Interoperability endpoints

  • Direct secure messaging: alberta.maloof@wvafn.hcadirect.net
  • Direct secure messaging: jmaloof314931@direct.wvuhsdirect.com

Organizations & group practices 6

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1720080906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458020840",
            "telephone_number": "877-574-7116",
            "fax_number": "419-223-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 MACCORKLE AVE SW",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091311",
            "telephone_number": "304-766-3600",
            "fax_number": "304-343-4626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Laidley St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253011614",
            "country_code": "US",
            "telephone_number": "304-347-6500",
            "fax_number": "304-343-4626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4800 MacCorkle Ave SW",
            "address_purpose": "LOCATION",
            "city": "South Charleston",
            "state": "WV",
            "postal_code": "253091332",
            "country_code": "US",
            "telephone_number": "304-767-7730",
            "fax_number": "304-343-4626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2520 Valley Dr",
            "address_purpose": "LOCATION",
            "city": "Point Pleasant",
            "state": "WV",
            "postal_code": "255502031",
            "country_code": "US",
            "telephone_number": "304-675-4340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALOOF",
        "first_name": "ALBERTA",
        "middle_name": "JANE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WV",
            "license": "19043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0440737",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "001718795",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0122650000",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jane.maloof@pvhhealth.direct.wvhin.org",
            "affiliation": "N",
            "address_1": "2520 Valley Dr",
            "city": "Point Pleasant",
            "state": "WV",
            "country_code": "US",
            "postal_code": "255502031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Charleston, WV

Sources for this page

Verify at the official NPI Registry.