Individual provider Active NPI

Sugam B Vasani, MD

  • Surgery Physician
  • Bridgeport, WV
National Provider Identifier
1952507972
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
24781 Issued in WV
Practice address
527 Medical Park Dr Ste 202
Bridgeport, WV 26330-9009
Phone
(304) 933-3800
NPI assigned
Jun 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X BP2-0035874 TX
Student in an Organized Health Care Education/Training Program 390200000X BP10028685 TX
Surgery Physician 208600000X 24781 WV Primary

Addresses

Primary practice location

527 Medical Park Dr Ste 202
Bridgeport, WV 26330-9009

Mailing address

527 Medical Park Dr Ste 202
Bridgeport, WV 26330-9009
Phone (304) 933-3800

Other identifiers 1

IdentifierTypeStateIssuer
3810023280MedicaidWV

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address svasani32684@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address svasani32684@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
I20120807000004 WV Practitioner - General SurgeryPractitioner - Other (Physician) 0345496402 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Hospital Center IncGroup PAC ID 8123936010, 290 clinicians

Practice addresses (Care Compare)

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

501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-5432

527 Medical Park Dr
Bridgeport, WV 26330-9009

916 W Main St
Bridgeport, WV 26330-1651
Phone (304) 842-1034

PO Box
Suite 775
Morgantown, WV 26507-0775

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
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

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy86
Hernia repair (minimally invasive)15
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24781WVMDSurgery Physician
BP10028685TXMDStudent in an Organized Health Care Education/Training Program
BP2-0035874TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
United Hospital Center, Inc. Surgery CurrentSince Jan 1, 2015 Accepting new patients
Charleston Area Medical Center, Inc. Current Accepting new patients
West Virginia University Medical Corporation Surgery CurrentSince Jun 1, 2023 Accepting new patients
United Hospital Center, Inc. CurrentSince Jan 1, 2015 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jun 1, 2023 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Aug 20, 2018 Accepting new patients
United Hospital Center, Inc Past Accepting new patients
United Hospital Center Past Accepting new patients

Locations

527 Medical Park Dr
Ste 400
Bridgeport, WV 26330
Phone (681) 342-1610

527 Medical Park Dr
Ste 204
Bridgeport, WV 26330
Phone (304) 623-5711

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

527 Medical Park Dr
Ste 202
Bridgeport, WV 26330
Phone (304) 933-3850

916 W Main St
Bridgeport, WV 26330
Phone (304) 842-1034

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

2673 Davisson Run Rd
Ste 303
Clarksburg, WV 26301

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

200 Route 98 W St
Ste 107
Nutter Fort, WV 26301
Phone (304) 623-5711

Interoperability endpoints

  • Direct secure messaging: sugamvasani@css.allscriptsdirect.net
  • Direct secure messaging: svasani32684@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1952507972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 MEDICAL PARK DR STE 202",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263309009",
            "telephone_number": "304-933-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 MEDICAL PARK DR STE 202",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263309009",
            "telephone_number": "304-933-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASANI",
        "first_name": "SUGAM",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP2-0035874",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10028685",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WV",
            "license": "24781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810023280",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "svasani32684@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "527 Medical Park Dr Ste 202",
            "city": "Bridgeport",
            "state": "WV",
            "country_code": "US",
            "postal_code": "263309009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "svasani32684@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "527 Medical Park Dr",
            "city": "Bridgeport",
            "state": "WV",
            "country_code": "US",
            "postal_code": "263309008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bridgeport, WV

Sources for this page

Verify at the official NPI Registry.