Active NPI
Paul Basil Papadimitriou, MD
- Psychiatry Physician
- Wheeling, WV
National Provider Identifier
1801909510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 16790
- Practice address
- 2101 Jacob St Ste 501
Wheeling, WV 26003-3800 - Phone
- (304) 234-8517
- Fax
- (304) 234-8745
- NPI assigned
- Aug 16, 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 16790 | WV | Primary |
Addresses
Primary practice location
2101 Jacob St Ste 501
Wheeling, WV 26003-3800
Mailing address
2000 Eoff St
Wheeling, WV 26003-3823
Phone (304) 234-8663
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0968252 | Medicaid | OH | |
| P00117943 | Other | RAILROAD MEDICARE | |
| 0115621000 | Medicaid | WV |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ppapadimitriou153048@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | ppapadimitriou153048@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | ppapadimitriou153048@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
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- West Virginia University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
800 Wheeling Ave
Glen Dale, WV 26038-1660
Phone (304) 843-3307
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16790 | WV | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reynolds Memorial Hospital, Inc | Current | Accepting new patients | |
| Reynolds Memorial Hospital Inc | Current | Accepting new patients | |
| Reynolds Memorial Hospital, Inc | Past | Accepting new patients |
Locations
800 Wheeling Ave
Glen Dale, WV 26038
Phone (304) 221-4520
1000 Wheeling Ave
Glen Dale, WV 26038
Phone (304) 221-3012
2000 Eoff St
Wheeling, WV 26003
Phone (304) 234-0123
Interoperability endpoints
- papadimitriou.paul.008.0460047@ovmc.meditab.direct-ci.com
- ppapadimitriou153048@direct.wvuhsdirect.com
- papadimitriou.paul.005.0460047@ovmc.meditab.direct-ci.com
- papadimitriou.paul.007.0460047@ovmc.meditab.direct-ci.com
Organizations & group practices 3
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Glen Dale, WV
- NPI 1518068014
-
- Interventional Cardiology Physician
- Glen Dale, WV
- NPI 1780094961
-
- General Acute Care Hospital
- Glen Dale, WV
- NPI 1144228305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649203200000",
"number": "1801909510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 EOFF ST",
"city": "WHEELING",
"state": "WV",
"postal_code": "260033823",
"telephone_number": "304-234-8663",
"fax_number": "304-234-8960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 JACOB ST STE 501",
"city": "WHEELING",
"state": "WV",
"postal_code": "260033800",
"telephone_number": "304-234-8517",
"fax_number": "304-234-8745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAPADIMITRIOU",
"first_name": "PAUL",
"middle_name": "BASIL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2022-04-06",
"certification_date": "2022-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WV",
"license": "16790",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0968252",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00117943",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0115621000",
"state": "WV"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ppapadimitriou153048@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1000 Wheeling Ave",
"city": "Glen Dale",
"state": "WV",
"country_code": "US",
"postal_code": "260381750",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ppapadimitriou153048@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1000 Wheeling Ave",
"city": "Glen Dale",
"state": "WV",
"country_code": "US",
"postal_code": "260381750",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ppapadimitriou153048@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1000 Wheeling Ave",
"city": "Glen Dale",
"state": "WV",
"country_code": "US",
"postal_code": "260381750",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.