Individual provider Active NPI

Wael Khaled El Minaoui, M.

  • Pulmonary Disease Physician
  • Abingdon, VA
National Provider Identifier
1871781443
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
2019-01775 Issued in NC
Practice address
16000 Johnston Memorial Dr Ste 312D
Abingdon, VA 24211-7664
Phone
(276) 258-1000
NPI assigned
Oct 9, 2007
Last updated
Aug 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 2019-01775 NC
Pulmonary Disease Physician 207RP1001X 44003 TN
Pulmonary Disease Physician 207RP1001X 0101268170 VA
Pulmonary Disease Physician 207RP1001X 2019-01775 NC Primary

Addresses

Primary practice location

16000 Johnston Memorial Dr Ste 312D
Abingdon, VA 24211-7664

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565

Other practice location 1

111 W Stone Dr
Suite 100
Kingsport, TN 37660-6027
Phone (423) 247-5197

Other practice location 2

2209 S Sterling St Ste 600
Morganton, NC 28655-4092
Phone (828) 580-4577

Other practice location 3

130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 224-4000

Other practice location 4

115 Judge Gresham Rd Ste A
Gray, TN 37615-6213
Phone (423) 467-3000

Other practice location 5

400 N State Of Franklin Rd Rm 2746
Johnson City, TN 37604-6035
Phone (423) 431-6111

Other identifiers 1

IdentifierTypeStateIssuer
103G705049OtherTNMEDICARE GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NC, WV, VA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20090216000432 TN Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 4688739220 Reassigns benefits to 2 organizations
I20191016001112 NC Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 4688739220 Reassigns benefits to 2 organizations
I20200709002311 WV Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 4688739220 Reassigns benefits to 1 organization
I20201202001568 VA Practitioner - Internal Medicine 4688739220 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmont Medical Associates IncGroup PAC ID 8123291739, 432 clinicians
Blue Ridge Medical Management CorporationGroup PAC ID 9739099441, shared by 2 NPIs, 283 clinicians

Practice addresses (Care Compare)

111 W Stone Dr
Kingsport, TN 37660-6027

130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 230-8200

16000 Johnston Memorial Dr
312D
Abingdon, VA 24211-7664
Phone (276) 258-1740

400 N State of Franklin Rd
RM 2746
Johnson City, TN 37604-6035
Phone (423) 431-2727

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Catawba Valley Medical Group, Inc Pulmonary Disease CurrentSince Feb 22, 2021 Accepting new patients
Blue Ridge Medical Management Corporation Critical Care Medicine CurrentSince May 29, 2023 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Sep 1, 2019 Accepting new patients
Wellmont Medical Associates Inc Pulmonary Disease CurrentSince Sep 1, 2011 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Current Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Jun 1, 2020 Accepting new patients
Catawba Valley Medical Group Inc CurrentSince Feb 22, 2021 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Jun 1, 2020 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Blue Ridge Medical Management Corporation Critical Care Medicine CurrentSince Apr 1, 2022 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Pulmonary Disease CurrentSince Sep 1, 2019 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Apr 1, 2022 Accepting new patients
Catawba Valley Medical Group, Inc Current Accepting new patients
Sound Physicians Intensivists of Virginia LLC Critical Care Medicine CurrentSince Dec 1, 2020 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Sep 1, 2011 Accepting new patients

Locations

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

2209 S Sterling St
Ste 600
Morganton, NC 28655
Phone (828) 580-2250

50 Macedonia Church Rd
#A
Taylorsville, NC 28681
Phone (828) 732-5300

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

115 Judge Gresham Rd
Ste A
Gray, TN 37615
Phone (423) 467-3000

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

400 N State of Franklin Rd
Rm 2746
Johnson City, TN 37604
Phone (423) 431-2727

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220

130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150

851 Locust St
Rogersville, TN 37857
Phone (423) 272-2671

16000 Johnston Memorial Dr
#312D
Abingdon, VA 24211
Phone (276) 258-1740

323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612

16000 Johnston Memorial Dr
Ste 312D
Abingdon, VA 24211
Phone (276) 258-1000

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

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

Interoperability endpoints

  • Direct secure messaging: welminaoui845878@direct.unc.nchie.net

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

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": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1871781443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-302-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 JOHNSTON MEMORIAL DR STE 312D",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242117664",
            "telephone_number": "276-258-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 W Stone Dr",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376606027",
            "country_code": "US",
            "telephone_number": "423-247-5197",
            "fax_number": "423-247-5254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2209 S Sterling St Ste 600",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286554092",
            "country_code": "US",
            "telephone_number": "828-580-4577",
            "fax_number": "828-580-4599",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 W Ravine Rd",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376603837",
            "country_code": "US",
            "telephone_number": "423-224-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Judge Gresham Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Gray",
            "state": "TN",
            "postal_code": "376156213",
            "country_code": "US",
            "telephone_number": "423-467-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 N State Of Franklin Rd Rm 2746",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376046035",
            "country_code": "US",
            "telephone_number": "423-431-6111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EL MINAOUI",
        "first_name": "WAEL",
        "middle_name": "KHALED",
        "credential": "M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-09",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NC",
            "license": "2019-01775",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "44003",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101268170",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "2019-01775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "103G705049",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

Verify at the official NPI Registry.