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SHASHI R URVAL MD
NPI 1285687764
Internal Medicine in Wheeling, WV

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
58 16TH STREET, WHEELING, WV 26003(304) 243-2998(304) 242-4652 Get Directions Write a Review

NPPES record last updated: June 4, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shashi R Urval Md NPPES

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

SHASHI R URVAL MD (NPI 1285687764) is an individual internal medicine provider in Wheeling, West Virginia, licensed in West Virginia (19969) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Harrison Community Hospital, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1285687764
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSHASHI R URVALCredential: MD
Location Address58 16TH STREETWheeling, WV 26003
Mailing Address58 16th StreetWheeling, WV 26003 · (304) 243-2998 · Fax (304) 242-4652
Phone(304) 243-2998
Fax(304) 242-4652
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateMay 18, 2006
Last NPPES UpdateJune 4, 2020
NPPES CertifiedJune 4, 2020
✔ NPI 1285687764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WV · 19969
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
58 16TH STREET, Wheeling, WV 26003
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Other Identifiers 2

Medicaid2143193OH
Medicaid6000501000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Shashi R Urval 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 ID2860406006
PECOS Enrollment IDI20060126000925
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 8

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
510 services365 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
196 services110 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
168 services104 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
91 services91 patients
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.
57 services24 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
31 services30 patients

Hospital Affiliations CMS Care Compare 5

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

Harrison Community Hospital

Critical Access Hospitals · Cadiz, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361311
Location951 East Market StreetCadiz, OH 43907 · Harrison County
Emergency services

Barnesville Hospital Association, Inc

Critical Access Hospitals · Barnesville, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361321
Location639 West Main StreetBarnesville, OH 43713 · Belmont County
Emergency services

Reynolds Memorial Hospital

Acute Care Hospitals · Glen Dale, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510013
Location800 Wheeling AveGlen Dale, WV 26038 · Marshall County
Emergency services Birthing friendly

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510050
Location1 Medical ParkWheeling, WV 26003 · Ohio County
Emergency services Birthing friendly

Wetzel County Hospital

Acute Care Hospitals · New Martinsville, WV
OwnershipGovernment - Local
CMS Certification Number510072
Location#3 East Benjamin DriveNew Martinsville, WV 26155 · Wetzel County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26003 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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 10

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers37 claims87 services$5.67 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers13 claims18 services$1.01 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers15 claims15 services$18.90 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$921.95 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
3 suppliers34 claims34 services$90.56 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$31.22 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 11

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

MRS. AMANDA PATRICIA WAKIM MSN,FNP-BC
Nurse Practitioner (Primary Care)
58 16TH STREET
WHEELING, WV 26003
Ohio County (304) 243-6410
FRANCES SMALTZ FNP
Nurse Practitioner (Family)
58 16TH STREET
WHEELING, WV 26003
Ohio County (304) 243-6410
WHEELING HOSPITAL INC
Home Health
58 16TH STREET
WHEELING, WV 26003
Ohio County (304) 243-4663
MRS. LISA CAROLINE HILL MD
Family Medicine
58 16TH STREET
WHEELING, WV 26003
Ohio County (304) 233-8788
MIN WANG LAC/OMD
Acupuncturist
58 16TH STREET
WHEELING, WV 26003
Ohio County (304) 234-1911
MATHEW GUS SOKOS M.D.
Family Medicine
58 16TH STREET, WHEELING CLINIC
WHEELING, WV 26003
Ohio County (304) 234-2004
MS. CANDACE ASHLEY ISAACS MD
Family Medicine
58 16TH STREET, SUITE 200
WHEELING, WV 26003
Ohio County (304) 234-2111
KIMBERLY LYNN JUSTICE-CONLEY MSW LCSW
Social Worker (Clinical)
58 16TH STREET
WHEELING, WV 26003
Ohio County (304) 243-8437

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 Shashi Urval's NPI number?

The NPI number for Shashi Urval is 1285687764. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Shashi Urval located?

Shashi Urval practices at 58 16th Street, Wheeling, WV 26003. The listed phone number is (304) 243-2998.

What is Shashi Urval's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shashi Urval enrolled in Medicare?

Yes. Shashi Urval 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 Shashi Urval accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Shashi Urval 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 Shashi Urval affiliated with any hospitals?

According to CMS data, Shashi Urval is affiliated with Harrison Community Hospital, Barnesville Hospital Association, Inc, Reynolds Memorial Hospital, Wheeling Hospital, Inc and Wetzel County Hospital.

When was this NPI record last updated?

The NPPES record for Shashi Urval was last updated on June 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.