Individual provider Active NPI

Paul Duane Davis, M.D.

  • Family Medicine Physician
  • Salem, WV
National Provider Identifier
1821197484
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15251 Issued in WV
Practice address
2373 W Main St Ste 102
Salem, WV 26426-7515
Phone
(304) 782-2000
Fax
(304) 782-3102
NPI assigned
Sep 21, 2006
Last updated
Apr 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 15251 WV Primary

Addresses

Primary practice location

2373 W Main St Ste 102
Salem, WV 26426-7515

Mailing address

PO Box 763
Morgantown, WV 26507-0763
Phone (800) 541-4009

Other identifiers 1

IdentifierTypeStateIssuer
0041239000MedicaidWV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pdavis41254@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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100322000053 WV Practitioner - Family Practice 3779480637 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
United Physicians Care IncGroup PAC ID 6103814017, 119 clinicians
United Hospital Center IncGroup PAC ID 8123936010, 290 clinicians

Practice addresses (Care Compare)

2373 W Main St
Suite 102
Salem, WV 26426-7515
Phone (304) 782-2000

327 Medical Park Dr
Bridgeport, WV 26330-9006
Phone (681) 342-1842

60 Pennsylvania St
West Union, WV 26456-8143
Phone (304) 873-1531

PO Box
Suite 775
Morgantown, WV 26507-0775

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

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
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
United Physicians Care Inc Family Medicine CurrentSince Jan 1, 2015 Accepting new patients
United Hospital Center Family Medicine CurrentSince Mar 5, 2011 Accepting new patients
United Hospital Center, Inc. Family Medicine CurrentSince Mar 5, 2011 Accepting new patients
Doddridge County Board of Health CurrentSince Jun 1, 2016 Accepting new patients
United Physicians Care Inc Family Medicine CurrentSince Jan 1, 2015 Accepting new patients
United Hospital Center, Inc Past Accepting new patients
Premier Medical Group, Inc. Family Medicine Past Accepting new patients
Rosebud Indian Health Service Past Accepting new patients
Premier Medical Group, Inc. Past Accepting new patients

Locations

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

900 Lodgeville Rd
Bridgeport, WV 26330
Phone (304) 842-3311

626 Elk St
Gassaway, WV 26624
Phone (304) 364-2401

2373 W Main St
Ste 102
Salem, WV 26426
Phone (304) 782-2000

60 Pennsylvania St
West Union, WV 26456
Phone (304) 873-1531

Interoperability endpoints

  • Direct secure messaging: pdavis41254@direct.wvuhsdirect.com

Organizations & group practices 9

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.

Hospital & facility affiliations 4

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1821197484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 763",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265070763",
            "telephone_number": "800-541-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 W MAIN ST STE 102",
            "city": "SALEM",
            "state": "WV",
            "postal_code": "264267515",
            "telephone_number": "304-782-2000",
            "fax_number": "304-782-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "PAUL",
        "middle_name": "DUANE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "15251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0041239000",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pdavis41254@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2373 W Main St",
            "city": "Salem",
            "state": "WV",
            "country_code": "US",
            "postal_code": "264267515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salem, WV

Sources for this page

Verify at the official NPI Registry.