Individual provider Active NPI

Susan E Bobes, M.D.

  • Emergency Medicine Physician
  • Elkins, WV
National Provider Identifier
1790762383
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
19007 Issued in WV
Practice address
812 Gorman Ave
Elkins, WV 26241-3181
Phone
(304) 636-3300
Fax
(304) 637-3435
NPI assigned
Dec 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 19007 WV Primary

Addresses

Primary practice location

812 Gorman Ave
Elkins, WV 26241-3181

Mailing address

812 Gorman Ave
Elkins, WV 26241-3181
Phone (304) 636-3300

Other identifiers 1

IdentifierTypeStateIssuer
930054024OtherWVRAILROAD MEDICARE

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
I20100816001100 WV Practitioner - Emergency Medicine 9537203179 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Colorado School of Medicine, Denver, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Joseph'S Hospital of Buckhannon IncGroup PAC ID 6709828163, 98 clinicians
United Hospital Center IncGroup PAC ID 8123936010, 290 clinicians

Practice addresses (Care Compare)

1 Amalia Dr
Buckhannon, WV 26201-2239
Phone (304) 473-2000

1013 N Randolph Ave
Elkins, WV 26241-3969
Phone (681) 342-3000

Hospital & facility affiliations

  • United Hospital Center, Inc Hospital, Bridgeport, WV, CCN 510006
  • St Joseph'S Hospital of Buckhannon, Inc Hospital, Buckhannon, WV, CCN 511321

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19007WVMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Potomac Valley Hospital of W VA , Inc Current Accepting new patients
West Virginia University Medical Corporation CurrentSince Aug 15, 2022 Accepting new patients
St Josephs Hospital of Buckhannon Inc CurrentSince Jul 26, 2022 Accepting new patients
West Virginia University Medical Corporation CurrentSince Aug 15, 2022 Accepting new patients
United Hospital Center, Inc. CurrentSince Sep 9, 2025 Accepting new patients
Davis Memorial Hospital CurrentSince Aug 14, 1997 Accepting new patients
Potomac Valley Hospital of W VA , Inc Emergency Medicine CurrentSince Sep 13, 2022 Accepting new patients
Potomac Valley Hospital of WV, Inc. Emergency Medicine CurrentSince Sep 13, 2022 Accepting new patients
Davis Memorial Hospital CurrentSince Aug 14, 1997 Accepting new patients

Locations

327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000

916 W Main St
Bridgeport, WV 26330
Phone (304) 842-1034

1 Amalia Dr
Buckhannon, WV 26201
Phone (304) 473-2000

2673 Davisson Run Rd
Ste 303
Clarksburg, WV 26301

812 Gorman Ave
Elkins, WV 26241
Phone (304) 636-3300

1013 N Randolph Ave
Elkins, WV 26241
Phone (681) 342-3000

100 Stoney Hill Rd
Fairmont, WV 26554
Phone (304) 285-5400

1325 Locust Ave
Fairmont, WV 26554
Phone (304) 367-7100

100 Pin Oak Ln
Ste 3
Keyser, WV 26726
Phone (304) 597-3790

100 Pin Oak Ln
Keyser, WV 26726
Phone (304) 597-3500

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

Interoperability endpoints

  • Direct secure messaging: sbobes43833@direct.wvuhsdirect.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

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": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281484800000",
    "number": "1790762383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 GORMAN AVE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413181",
            "telephone_number": "304-636-3300",
            "fax_number": "304-637-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 GORMAN AVE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413181",
            "telephone_number": "304-636-3300",
            "fax_number": "304-637-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBES",
        "first_name": "SUSAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2010-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "19007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "930054024",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins, WV

Sources for this page

Verify at the official NPI Registry.