MOUNTAINEER FAMILY MEDICINE, INC.
NPI 1295874436
Family Medicine in Charleston, WV
About Mountaineer Family Medicine, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOUNTAINEER FAMILY MEDICINE, INC. (NPI 1295874436) is a healthcare organization registered as a family medicine in Charleston, West Virginia and active in the NPI registry since February 2007. The organization lists Mohamad Samah Kalou, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mountaineer Family Medicine, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
17Medicare enrollment records show 17 clinicians reassign Medicare billing to Mountaineer Family Medicine, Inc., which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (17)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mountaineer Family Medicine, Inc.'s NPI number?
The NPI number for Mountaineer Family Medicine, Inc. is 1295874436. It was assigned to this organization in the NPPES registry on February 5, 2007.
Where is Mountaineer Family Medicine, Inc. located?
Mountaineer Family Medicine, Inc. is located at 500 Poplar St Suite 204, Charleston, WV 25309. The listed phone number is (304) 767-7840.
What is Mountaineer Family Medicine, Inc.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mountaineer Family Medicine, Inc. enrolled in Medicare?
Yes. Mountaineer Family Medicine, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mountaineer Family Medicine, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 3 Medicare specialties reassign their Medicare billing to Mountaineer Family Medicine, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (15), Clinical Social Worker (1) and Family Practice (1). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Mountaineer Family Medicine, Inc. accept?
Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Mountaineer Family Medicine, Inc. 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 Mountaineer Family Medicine, Inc. was last updated on February 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Mountaineer Family Medicine, Inc. · NPI 1295874436
Family Medicine organization in Charleston, West Virginia. Organization record, active in the CMS NPPES registry since February 5, 2007.
## Identity
- **NPI:** 1295874436 (Entity type: Organization)
- **Enumerated:** February 5, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Mohamad Kalou, OWNER
## Practice location
- **Address:** 500 POPLAR ST, SUITE 204, Charleston, WV 25309-1474
- **Phone:** (304) 767-7840 · **Fax:** (304) 767-7849
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 17 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (15), Clinical Social Worker (1), Family Practice (1); 6 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 4, 2008
- **Other identifiers:** Medicare PIN 9367011 (WV); Medicaid 3810010965 (WV); Medicare UPIN I63345
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Source: [NPI Profile](https://npiprofile.com/npi/1295874436) · Data from the CMS NPPES public registry.