Individual provider Active NPI

Luay Mrad, MD

  • Interventional Pain Medicine Physician
  • Parkersburg, WV
National Provider Identifier
1922449115
Registry record updated Jun 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
27116 Issued in WV
Practice address
800 Ann St
Parkersburg, WV 26101-4623
Phone
(304) 865-5530
NPI assigned
Jul 16, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 27116 WV
Pain Medicine Physician 208VP0000X 27116 WV
Interventional Pain Medicine Physician 208VP0014X 27116 WV Primary

Addresses

Primary practice location

800 Ann St
Parkersburg, WV 26101-4623

Mailing address

800 Ann St
Parkersburg, WV 26101-4623
Phone (304) 865-5530

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lmrad289692@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, NY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20161004002839 WV Practitioner - Pain ManagementPractitioner - Family Practice 8123262888 Reassigns benefits to 2 organizations
I20191218002192 NY Practitioner - Family Practice 8123262888 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wetzel County Hospital IncGroup PAC ID 4284065400, 49 clinicians
Camden-Clark Physician CorporationGroup PAC ID 5294885661, 345 clinicians

Practice addresses (Care Compare)

3 E Benjamin Dr
New Martinsville, WV 26155-2705
Phone (304) 455-8080

800 Ann St
Parkersburg, WV 26101-4623
Phone (304) 865-5530

800 Garfield Ave
Parkersburg, WV 26101-5376
Phone (304) 424-2111

Hospital & facility affiliations

  • Wetzel County Hospital Hospital, New Martinsville, WV, CCN 510072
  • Camden Clark Medical Center Hospital, Parkersburg, WV, CCN 510058
  • Sistersville General Hospital Hospital, Sistersville, WV, CCN 511304
  • Reynolds Memorial Hospital, Inc Hospital, Glen Dale, WV, CCN 510013
  • Marietta Memorial Hospital Hospital, Marietta, OH, CCN 360147

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27116WVMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wetzel County Hospital, Inc. CurrentSince Sep 1, 2021 Accepting new patients
St. Peter'S Hospital of the City of Albany Interventional Pain Medicine CurrentSince Nov 3, 2019 Accepting new patients
Camden-Clark Physician Corporation CurrentSince Jul 1, 2021 Accepting new patients
Wetzel County Hospital, Inc. CurrentSince Sep 1, 2021 Accepting new patients
St. Peter'S Hospital of the City of Albany CurrentSince Nov 3, 2019 Accepting new patients
Samaritan Hospital of Troy, New York Interventional Pain Medicine CurrentSince Nov 3, 2019 Accepting new patients
Wetzel County Hospital Association Past Accepting new patients
Camden Clark Memorial Hospital Corporation Interventional Pain Medicine PastSince Jun 25, 2023 Accepting new patients

Locations

600 Northern Blvd
Albany, NY 12204
Phone (518) 427-3331

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

3 E Benjamin Dr
North Martinsvlle, WV 26155
Phone (304) 455-8000

1901 Ann St
Parkersburg, WV 26101
Phone (304) 422-2400

800 Ann St
Parkersburg, WV 26101
Phone (304) 865-5530

800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405

Interoperability endpoints

  • Direct secure messaging: lmrad289692@direct.wvuhsdirect.com

Organizations & group practices 8

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 6

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": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687046400000",
    "number": "1922449115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ANN ST",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261014623",
            "telephone_number": "304-865-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ANN ST",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261014623",
            "telephone_number": "304-865-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MRAD",
        "first_name": "LUAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-16",
        "last_updated": "2023-06-18",
        "certification_date": "2023-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WV",
            "license": "27116",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "WV",
            "license": "27116",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "WV",
            "license": "27116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmrad289692@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1901 Ann St",
            "city": "Parkersburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261012504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

Verify at the official NPI Registry.