NPIMap

Individual provider Active NPI

Raghda Tolaymat Sahloul, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Charleston, WV
National Provider Identifier
1962424903
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
20791 Issued in WV
Practice address
4400 Maccorkle Avenue S.E.
Charleston, WV 25304-1223
Phone
(304) 345-8665
Fax
(304) 345-8662
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 20791 WV Primary

Addresses

Primary practice location

4400 Maccorkle Avenue S.E.
Charleston, WV 25304-1223

Mailing address

4400 Maccorkle Avenue S.E.
Charleston, WV 25304-1223
Phone (304) 345-8665

Other practice location 1

300 Corporate Center Drive
Scott Depot, WV 25560
Phone (304) 691-6800

Other identifiers 2

IdentifierTypeStateIssuer
1841086000MedicaidWV
1841086-000MedicaidWV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address raghda.sahloul@marshall.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120124000620 WV Practitioner - EndocrinologyPractitioner - Internal Medicine 0042226995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Physicians and Surgeons, IncGroup PAC ID 2961315734, 379 clinicians

Practice addresses (Care Compare)

300 Corporate Ctr Dr
Scott Depot, WV 25560-9026
Phone (304) 691-6800

Hospital & facility affiliations

  • Cabell Huntington Hospital, Inc Hospital, Huntington, WV, CCN 510055
  • Charleston Area Medical Center Hospital, Charleston, WV, CCN 510022
  • Logan Regional Medical Center Hospital, Logan, WV, CCN 510048
  • Thomas Memorial Hospital Hospital, South Charleston, WV, CCN 510029
  • Jackson General Hospital Hospital, Ripley, WV, CCN 511320

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians & Surgeons, Inc Current Accepting new patients
Core Health Centers of Kanawha City,LLC CurrentSince Oct 1, 2023 Accepting new patients
University Physicians & Surgeons, Inc. CurrentSince Jan 16, 2023 Accepting new patients
University Physicians & Surgeons, Inc. CurrentSince Jan 16, 2023 Accepting new patients
Cabell Huntington Hospital Inc PastSince Jan 16, 2023 Accepting new patients

Locations

4400 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 314-7030

1448 10th Ave
Ste 304
Huntington, WV 25701
Phone (304) 691-6381

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

Organizations & group practices 5

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 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1962424903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 MACCORKLE AVENUE S.E.",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041223",
            "telephone_number": "304-345-8665",
            "fax_number": "304-345-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 MACCORKLE AVENUE S.E.",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041223",
            "telephone_number": "304-345-8665",
            "fax_number": "304-345-8662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Corporate Center Drive",
            "address_purpose": "LOCATION",
            "city": "Scott Depot",
            "state": "WV",
            "postal_code": "25560",
            "country_code": "US",
            "telephone_number": "304-691-6800",
            "fax_number": "304-691-6751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAHLOUL",
        "first_name": "RAGHDA",
        "middle_name": "TOLAYMAT",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "WV",
            "license": "20791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841086000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841086-000",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "raghda.sahloul@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "300 Corporate Center Drive",
            "city": "Scott Depot",
            "state": "WV",
            "country_code": "US",
            "postal_code": "25560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.