BLUEFIELD GASTROENTEROLOGY PLLC
NPI 1093869968
Specialist in Princeton, WV

Active since January 22, 2007CLIA 51D1053915 · Certificate of Compliance
405 12TH STREET EXT, PRINCETON, WV 24740(304) 425-7243(304) 487-3525 Get Directions Write a Review

NPPES record last updated: November 21, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Bluefield Gastroenterology Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUEFIELD GASTROENTEROLOGY PLLC (NPI 1093869968) is a healthcare organization registered as a specialist in Princeton, West Virginia and active in the NPI registry since January 2007. The organization holds a CLIA Certificate of Compliance certificate valid through March 22, 2028 and lists Kamalesh P Patel, Owner, as its authorized official.

NPPES Registry Identity

NPI1093869968
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBLUEFIELD GASTROENTEROLOGY PLLC
Location Address405 12TH STREET EXTPrinceton, WV 24740-2300
Mailing Address405 12th Street ExtPrinceton, WV 24740-2300 · (304) 425-7243 · Fax (304) 487-3525
Fax(304) 487-3525
Organization SubpartNo
Authorized OfficialKamalesh P PatelOwner · (304) 425-7243
Enumeration DateJanuary 22, 2007
Last NPPES UpdateNovember 21, 2007
NPI 1093869968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

405 12TH STREET EXT, Princeton, WV 24740

Other Identifiers 4

OtherCK3736WV · Railroad Medicare
Medicaid3810004352WV
Other1807132WV · Bluecross Blueshield
Medicare PIN9327311WV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 51D1053915

Bluefield Gastroenterology PLLC · Princeton, WV
Active · expires Mar 22, 2028
CLIA Number51D1053915
Laboratory TypePhysician Office
Certificate Effective DateMarch 23, 2026
Certificate Expiration DateMarch 22, 2028
Laboratory DirectorDr. Gopal M. Pardasani
Laboratory Phone(304) 425-7243
Laboratory LocationBluefield Gastroenterology PLLC405 12th Street Extention, Princeton, WV 24740
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
405 12TH STREET EXT
PRINCETON, WV 24740
Nurse Practitioner (Family)
405 12TH STREET EXT
PRINCETON, WV 24740
Nurse Practitioner (Family)
405 12TH STREET EXT
PRINCETON, WV 24740
Nurse Practitioner (Family)
405 12TH STREET EXT
PRINCETON, WV 24740
Internal Medicine (Gastroenterology)
405 12TH STREET EXT
PRINCETON, WV 24740
Nurse Practitioner (Family)
405 12TH STREET EXT
PRINCETON, WV 24740

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bluefield Gastroenterology PLLC's NPI number?

The NPI number for Bluefield Gastroenterology PLLC is 1093869968. It was assigned to this organization in the NPPES registry on January 22, 2007.

Where is Bluefield Gastroenterology PLLC located?

Bluefield Gastroenterology PLLC is located at 405 12th Street Ext, Princeton, WV 24740. The listed phone number is (304) 425-7243.

What is Bluefield Gastroenterology PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Bluefield Gastroenterology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 51D1053915) is associated with this NPI, valid through March 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bluefield Gastroenterology PLLC accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Bluefield Gastroenterology PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bluefield Gastroenterology PLLC was last updated on November 21, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.