Active NPI
Stephen D Ulaki, D.O.
- Emergency Medicine Physician
- Logan, WV
National Provider Identifier
1790728780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 1746
- Practice address
- 20 Hospital Dr
Logan, WV 25601-3473 - Phone
- (304) 831-1101
- NPI assigned
- Jun 14, 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 1746 | WV | Primary |
Addresses
Primary practice location
20 Hospital Dr
Logan, WV 25601-3473
Mailing address
PO Box 634706
Cincinnati, OH 45263-0001
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001723064 | Other | WV | BLUE CROSS |
| P00308703 | Other | WV | MEDICARE RAILROAD |
| 1058523 | Other | WV | WORKER'S COMP |
| 5600270000 | Medicaid | WV | |
| 60701 | Other | WV | UNICARE HMO |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sulaki155925@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | sulaki155925@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | sulaki155925@direct.wvuhsdirect.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|---|
| I20040407000803 | WV | Practitioner - Emergency Medicine | 6507859261 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1746 | WV | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Association | Current | Accepting new patients | |
| Community Health Association | Current | Accepting new patients | |
| National Emergency Services West Virginia Inc | Emergency Medicine | Past | Accepting new patients |
| Greenbrier Emergency Services, Inc. | Emergency Medicine | Past | Accepting new patients |
| Marshall West Virginia Ed Associates, LLC | Emergency Medicine | Past | Accepting new patients |
| Community Health Association | Past | Accepting new patients | |
| Emergency Medicine Physicians of Kanawha County, PLLC | Emergency Medicine | Past | Accepting new patients |
| Elm Emergency Group PLLC | Emergency Medicine | Past | Accepting new patients |
Locations
122 Pinnell St
Ripley, WV 25271
Phone (304) 373-1544
Interoperability endpoints
- sulaki155925@direct.wvuhsdirect.com
Organizations & group practices 8
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.
-
- Medicare Defined Swing Bed Hospital Unit
- Ripley, WV
- NPI 1083805790
-
- Physical Therapy Clinic/Center
- Ravenswood, WV
- NPI 1124369780
-
- Emergency Medicine Physician
- South Charleston, WV
- NPI 1326087289
Emergency Medicine
-
- Emergency Medicine Physician
- Gassaway, WV
- NPI 1568401461
Emergency Medicine
-
- Emergency Medicine Physician
- Petersburg, WV
- NPI 1528480712
Emergency Medicine
-
- Emergency Medicine Physician
- Lexington, KY
- NPI 1831461755
Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650499200000",
"number": "1790728780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 634706",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452630001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 HOSPITAL DR",
"city": "LOGAN",
"state": "WV",
"postal_code": "256013473",
"telephone_number": "304-831-1101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULAKI",
"first_name": "STEPHEN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2022-04-21",
"certification_date": "2022-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WV",
"license": "1746",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "001723064",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00308703",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKER'S COMP",
"identifier": "1058523",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5600270000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNICARE HMO",
"identifier": "60701",
"state": "WV"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sulaki155925@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "122 Pinnell St",
"city": "Ripley",
"state": "WV",
"country_code": "US",
"postal_code": "252719101",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sulaki155925@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "122 Pinnell St",
"city": "Ripley",
"state": "WV",
"country_code": "US",
"postal_code": "252719101",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sulaki155925@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "122 Pinnell St",
"city": "Ripley",
"state": "WV",
"country_code": "US",
"postal_code": "252719101",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Logan, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.