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DR. M. BASHAR SHAALAN MD
NPI 1194725580
Hospitalist in Charleston, WV

Active since July 28, 2005PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
3200 MACCORKLE AVENUE SE, HOSPITALIST PROGRAM, CHARLESTON, WV 25304(304) 388-5848(304) 388-9654 Get Directions Write a Review

NPPES record last updated: September 15, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 15, 2017, Mar 18, 2016 (2 updates tracked since 2016).

About Dr. M. Bashar Shaalan Md NPPES

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

DR. M. BASHAR SHAALAN MD (NPI 1194725580) is an individual hospitalist provider in Charleston, West Virginia, licensed in West Virginia (20912) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1194725580
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. M. BASHAR SHAALANCredential: MD
Location Address3200 MACCORKLE AVENUE SE, HOSPITALIST PROGRAMCharleston, WV 25304
Mailing Address3200 Maccorkle Ave Se, Ste B16Charleston, WV 25304-1227 · (304) 388-7782 · Fax (304) 388-7788
Phone(304) 388-5848
Fax(304) 388-9654
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateJuly 28, 2005
Last NPPES UpdateSeptember 15, 20172 updates tracked since enumeration
✔ NPI 1194725580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in WV · 20912
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
3200 MACCORKLE AVENUE SE, Charleston, WV 25304
Open in Google Maps ↗

Other Identifiers 7

Medicaid3810006535WV
Medicare PINSH4277841
Other7753698WV · Aetna
Medicare UPINI33069WV
Other001766463WV · Ms Bcbs
Medicare PIN7334531WV
Medicare PINSH7334532

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. M. Bashar Shaalan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799711354
PECOS Enrollment IDI20050714000616
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
380 services131 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
150 services76 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
87 services87 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers19 claims19 services$15.76 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers20 claims20 services$82.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

DR. OSCAR CINCO ESTALILLA MD
Pathology (Anatomic Pathology & Clinical Pathology)
3200 MACCORKLE AVENUE SE, PATHOLOGY DEPARTMENT
CHARLESTON, WV 25304
Kanawha County (304) 388-5550
WILLIAM M. OSCANYAN D.D.S.
Dentist
3200 MACCORKLE AVENUE SE, CAMC DENTAL CENTER
CHARLESTON, WV 25304
Kanawha County (304) 388-9335
DAVID A. HANSEN MD
Pathology (Anatomic Pathology & Clinical Pathology)
3200 MACCORKLE AVENUE SE, PATHOLOGY DEPARTMENT
CHARLESTON, WV 25304
Kanawha County (304) 388-5550
RAMANDEEP KAUR BOLLA MD
Student in an Organized Health Care Education/Training Program
3200 MACCORKLE AVENUE SE, 5TH FLOOR ROBERT C. BYRD CLINICAL TEACHING CENTER
CHARLESTON, WV 25304
Kanawha County (304) 388-4600
MRS. LINDA L BOOTH FNP-BC
Nurse Practitioner (Family)
3200 MACCORKLE AVENUE SE, HOSPITALIST PROGRAM
CHARLESTON, WV 25304
Kanawha County (304) 388-5848
DR. DARLENE Y. GRUETTER MD
Pathology (Anatomic Pathology & Clinical Pathology)
3200 MACCORKLE AVENUE SE, PATHOLOGY DEPARTMENT
CHARLESTON, WV 25304
Kanawha County (304) 388-5550
DR. ADNAN M. NAHLA MD
Hospitalist
3200 MACCORKLE AVENUE SE, HOSPITALIST PROGRAM
CHARLESTON, WV 25304
Kanawha County (304) 388-5848
SANDRA Y ELLIOTT MD
Internal Medicine (Infectious Disease)
3200 MACCORKLE AVENUE SE, CAMC OUTPATIENT CLINICS
CHARLESTON, WV 25304
Kanawha County (304) 388-5590

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 M. Shaalan's NPI number?

The NPI number for M. Shaalan is 1194725580. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is M. Shaalan located?

M. Shaalan practices at 3200 Maccorkle Avenue SE Hospitalist Program, Charleston, WV 25304. The listed phone number is (304) 388-5848.

What is M. Shaalan's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is M. Shaalan enrolled in Medicare?

Yes. M. Shaalan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does M. Shaalan accept?

Health plans from CareSource list M. Shaalan 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.

Is M. Shaalan affiliated with any hospitals?

According to CMS data, M. Shaalan is affiliated with Charleston Area Medical Center.

When was this NPI record last updated?

The NPPES record for M. Shaalan was last updated on September 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.