NPIMap

Individual provider Active NPI

Samuel S Groves, MD

  • Interventional Cardiology Physician
  • Charleston, WV
National Provider Identifier
1821035304
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
20327 Issued in WV
Practice address
2930 Chesterfield Ave
Charleston, WV 25304-1125
Phone
(304) 343-9923
Fax
(304) 343-9925
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 20327 WV
Interventional Cardiology Physician 207RI0011X 20327 WV Primary

Addresses

Primary practice location

2930 Chesterfield Ave
Charleston, WV 25304-1125

Mailing address

2930 Chesterfield Ave
Charleston, WV 25304-1125
Phone (304) 343-9923

Other identifiers 3

IdentifierTypeStateIssuer
0011726000MedicaidWA
000465033OtherWVBCBS GROUP NUMBER
1327565OtherWVUMW GROUP NUMBER

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
I20070816000472 WV Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6608968938 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
West Virginia University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Virginia University Medical CorporationGroup PAC ID 1052224565, 1,974 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 598-4865

3669 Teays Valley Rd
Hurricane, WV 25526-9695
Phone (304) 414-4841

401 Division St
South Charleston, WV 25309-1455

424 Division St
South Charleston, WV 25309-1400
Phone (304) 767-7870

4315 Maccorkle Ave SE
Charleston, WV 25304-2503
Phone (304) 926-8080

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 766-3600

Hospital & facility affiliations

  • Thomas Memorial Hospital Hospital, South Charleston, WV, CCN 510029
  • Charleston Area Medical Center Hospital, Charleston, WV, CCN 510022
  • Jackson General Hospital Hospital, Ripley, WV, CCN 511320
  • Summersville Regional Medical Center Hospital, Summersville, WV, CCN 511322

Merit-based Incentive Payment System (MIPS)

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

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20327WVMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Mar 7, 2023 Accepting new patients
West Virginia University Medical Corporation CurrentSince Mar 7, 2023 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Jul 1, 2007 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Jul 1, 2007 Accepting new patients
Charleston Cardiology Group PLLC Cardiovascular Disease Past Accepting new patients
Associated Radiologists, Inc. Past Accepting new patients

Locations

2345 Chesterfield Ave
Ste 302
Charleston, WV 25304
Phone (304) 720-2039

2930 Chesterfield Ave
Charleston, WV 25304
Phone (304) 343-9923

4315 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 926-8080

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

415 Morris St
Ste 309
Charleston, WV 25301
Phone (304) 348-3290

3703 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 757-2273

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

401 Division St
Ste 204
South Charleston, WV 25309
Phone (304) 414-4841

400 Fairview Heights Rd
Ste 202
Summersville, WV 26651
Phone (304) 872-8404

Interoperability endpoints

  • Direct secure messaging: sgroves383086@direct.wvuhsdirect.com

Organizations & group practices 6

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 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1821035304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 CHESTERFIELD AVE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041125",
            "telephone_number": "304-343-9923",
            "fax_number": "304-343-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 CHESTERFIELD AVE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041125",
            "telephone_number": "304-343-9923",
            "fax_number": "304-343-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVES",
        "first_name": "SAMUEL",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WV",
            "license": "20327",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "WV",
            "license": "20327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011726000",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "000465033",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMW GROUP NUMBER",
            "identifier": "1327565",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.