NPIMap

Individual provider Active NPI

Mohammad Yousaf, PAC

  • Medical Physician Assistant
  • Charleston, WV
National Provider Identifier
1801844303
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
WV484 Issued in WV
Practice address
1097 Fledderjohn Rd
Charleston, WV 25314-4208
Phone
(304) 345-3627
Fax
(304) 346-4440
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X WV484 WV Primary

Addresses

Primary practice location

1097 Fledderjohn Rd
Charleston, WV 25314-4208

Mailing address

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 414-4800

Other practice location 1

6A Bank St
Nitro, WV 25143-1708
Phone (304) 306-3058

Other practice location 2

333 Laidley St
Charleston, WV 25301-1614
Phone (304) 347-6773

Other practice location 3

4605 MacCorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 414-4800

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address mohammad.yousaf@thomashealthsystem.direct-ci.com
Direct Messaging Address mohammad.yousaf@thomashealthsystem.direct-ci.com
Direct Messaging Address mohammad.yousaf@thomashealthsystem.direct-ci.com
Direct Messaging Address mohammad.yousaf@thomashealthsystem.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060427000660 WV Practitioner - Physician Assistant 3577573062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
THS Physician Partners IncGroup PAC ID 9537316393, 366 clinicians

Practice addresses (Care Compare)

1097 Fledderjohn Rd
Charleston, WV 25314-4208

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 414-4800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
WV484WVMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: mohammad.yousaf@thomashealthsystem.direct-ci.com

Organizations & group practices 1

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 12

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1801844303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 MACCORKLE AVE SW",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091311",
            "telephone_number": "304-414-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1097 FLEDDERJOHN RD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253144208",
            "telephone_number": "304-345-3627",
            "fax_number": "304-346-4440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6A Bank St",
            "address_purpose": "LOCATION",
            "city": "Nitro",
            "state": "WV",
            "postal_code": "251431708",
            "country_code": "US",
            "telephone_number": "304-306-3058",
            "fax_number": "304-306-3059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 Laidley St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253011614",
            "country_code": "US",
            "telephone_number": "304-347-6773",
            "fax_number": "304-347-6848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4605 MacCorkle Ave SW",
            "address_purpose": "LOCATION",
            "city": "South Charleston",
            "state": "WV",
            "postal_code": "253091311",
            "country_code": "US",
            "telephone_number": "304-414-4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUSAF",
        "first_name": "MOHAMMAD",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "WV484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mohammad.yousaf@thomashealthsystem.direct-ci.com",
            "affiliation": "N",
            "address_1": "1097 Fledderjohn Rd",
            "city": "Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253144208",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mohammad.yousaf@thomashealthsystem.direct-ci.com",
            "affiliation": "N",
            "address_1": "6A Bank St",
            "city": "Nitro",
            "state": "WV",
            "country_code": "US",
            "postal_code": "251431708",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mohammad.yousaf@thomashealthsystem.direct-ci.com",
            "affiliation": "N",
            "address_1": "333 Laidley St",
            "city": "Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253011614",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mohammad.yousaf@thomashealthsystem.direct-ci.com",
            "affiliation": "N",
            "address_1": "4605 MacCorkle Ave SW",
            "city": "South Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253091311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.