Individual provider Active NPI

M Anwar Yahya Abdeen, MD

  • Emergency Medicine Physician
  • Montgomery, WV
National Provider Identifier
1821141763
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
20596 Issued in WV
Practice address
401 6TH Ave
Montgomery, WV 25136-2116
Phone
(304) 442-5151
Fax
(800) 305-3233
NPI assigned
Jan 22, 2007
Last updated
Jul 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 20596 WV Primary
Internal Medicine Physician 207R00000X 20596 WV

Addresses

Primary practice location

401 6TH Ave
Montgomery, WV 25136-2116

Mailing address

106 Southern Woods Dr
S Charleston, WV 25309-8689
Phone (304) 744-1192

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
I20130808000785 WV Practitioner - Internal Medicine 6800885468 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

428 Division St
Suite 3B
South Charleston, WV 25309-1469
Phone (304) 205-5848

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20596WVMDEmergency Medicine Physician
32954WVMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Care Clinic of South Charleston Internal Medicine CurrentSince Jan 11, 2020 Accepting new patients
Greenbrier Emergency Services, Inc. Emergency Medicine CurrentSince Oct 1, 2015 Accepting new patients
Health Care Alliance, Inc. Emergency Medicine CurrentSince Apr 15, 2014 Accepting new patients
Alignmed Partners, PC CurrentSince Jun 17, 2020 Accepting new patients
JMHC Inc Past Accepting new patients
Ohio Valley Physicians Inc PastSince May 1, 2022 Accepting new patients
Five Star Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Our Lady of the Way Hospital, Inc Past Accepting new patients
National Emergency Services West Virginia Inc Emergency Medicine Past Accepting new patients
Saint Joseph Health System, Inc. Past Accepting new patients
Saint Joseph Health System, Inc. Past Accepting new patients
Emcare Physician Providers Inc. Emergency Medicine Past Accepting new patients

Locations

105 S Eisenhower Dr
Beckley, WV 25801
Phone (304) 255-6404

1 Diane Dr
Fort Ashby, WV 26719
Phone (304) 298-3602

101 13th St
Huntington, WV 25701
Phone (304) 525-7622

112 Bridge St
Logan, WV 25601
Phone (304) 752-1905

20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101

117 Hospital Dr
Petersburg, WV 26847
Phone (304) 257-2527

428 Division St
Ste 3B
South Charleston, WV 25309
Phone (304) 205-5848

601 Colliers Way
Weirton, WV 26062
Phone (304) 364-5156

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1821141763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 SOUTHERN WOODS DR",
            "city": "S CHARLESTON",
            "state": "WV",
            "postal_code": "253098689",
            "telephone_number": "304-744-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 6TH AVE",
            "city": "MONTGOMERY",
            "state": "WV",
            "postal_code": "251362116",
            "telephone_number": "304-442-5151",
            "fax_number": "800-305-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDEEN",
        "first_name": "M ANWAR",
        "middle_name": "YAHYA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "20596",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "20596",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, WV

Sources for this page

Verify at the official NPI Registry.