Active NPI
Wael Khaled El Minaoui, M.
- Pulmonary Disease Physician
- Abingdon, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 2019-01775
- 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, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103G705049 | Other | TN | MEDICARE GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, NC, WV, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
- Blue Ridge Medical Management Corporation
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catawba Valley Medical Group, Inc | Pulmonary Disease | Current | Accepting new patients |
| Blue Ridge Medical Management Corporation | Critical Care Medicine | Current | Accepting new patients |
| Blue Ridge Healthcare Medical Group, Inc. | Current | Accepting new patients | |
| Wellmont Medical Associates Inc | Pulmonary Disease | Current | Accepting new patients |
| Blue Ridge Healthcare Medical Group, Inc. | Current | Accepting new patients | |
| Charleston Area Medical Center, Inc. | Current | Accepting new patients | |
| Catawba Valley Medical Group Inc | Current | Accepting new patients | |
| Charleston Area Medical Center Inc | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Critical Care Medicine | Current | Accepting new patients |
| Blue Ridge Healthcare Medical Group, Inc. | Pulmonary Disease | Current | Accepting new patients |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Catawba Valley Medical Group, Inc | Current | Accepting new patients | |
| Sound Physicians Intensivists of Virginia LLC | Critical Care Medicine | Current | Accepting new patients |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Wellmont Medical Associates, Inc. | Current | 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
- 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.
-
dba Ballad Health Medical Associates
- Pulmonary Disease Physician
- Bristol, TN
- NPI 1780986257
-
dba Ballad Health Medical Associates
- Cardiovascular Disease Physician
- Marion, VA
- NPI 1326159567
-
- Critical Care Medicine (Internal Medicine) Physician
- Richmond, VA
- NPI 1619520806
-
dba Women's Health Group-Valdese
- Obstetrics & Gynecology Physician
- Connelly Springs, NC
- NPI 1467993931
-
dba First Assist Urgent Care
- Urgent Care Clinic/Center
- Elizabethton, TN
- NPI 1144380833
-
dba Catawba Valley Family Care - Catawba
- Family Medicine Physician
- Catawba, NC
- NPI 1790062362
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1124248752
-
dba Ballad Health Medical Associates
- Pulmonary Disease Physician
- Abingdon, VA
- NPI 1265813026
Critical Care Medicine
-
dba Blue Ridge Pulmonary & Sleep Center
- Pulmonary Disease Physician
- Morganton, NC
- NPI 1407188600
-
dba Blue Ridge Transitional Care Clinic
- Internal Medicine Physician
- Morganton, NC
- NPI 1578424685
-
dba Ballad Health Medical Associates
- Internal Medicine Physician
- Johnson City, TN
- NPI 1356472880
Critical Care Medicine
-
dba Ballad Health Medical Associates
- Family Medicine Physician
- Johnson City, TN
- NPI 1982553756
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Holston Valley Medical Center
- General Acute Care Hospital
- Kingsport, TN
- NPI 1487690400
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.