Active NPI
Mahmood Partovi, MD
- Family Medicine Physician
- Dunbar, WV
National Provider Identifier
1770662579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 12073
- Practice address
- 210 11TH Street
Dunbar, WV 25064 - Phone
- (304) 768-1392
- Fax
- (304) 768-1477
- NPI assigned
- Nov 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 12073 | WV | Primary |
Addresses
Primary practice location
210 11TH Street
Dunbar, WV 25064
Mailing address
210 11TH Street
Dunbar, WV 25064
Phone (304) 768-1392
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0051595000 | Medicaid | WV |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120324000121 | WV | Practitioner - General Practice | 2365602604 | Practice locations: Dunbar, WV |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
210 11TH St
Dunbar, WV 25064-3117
Phone (304) 768-1392
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12073 | WV | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770662579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 11TH STREET",
"city": "DUNBAR",
"state": "WV",
"postal_code": "25064",
"telephone_number": "304-768-1392",
"fax_number": "304-768-1477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 11TH STREET",
"city": "DUNBAR",
"state": "WV",
"postal_code": "25064",
"telephone_number": "304-768-1392",
"fax_number": "304-768-1477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARTOVI",
"first_name": "MAHMOOD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "12073",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0051595000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dunbar, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.