MOUSA GHASSAN DAJJANI M.D.
NPI 1336723758
Family Medicine in Spencer, WV

Q: What is Mousa Dajjani's NPI number?

The NPI number for Mousa Dajjani is 1336723758. It was assigned to this individual provider in the NPPES registry on May 11, 2021.

Q: What is Mousa Dajjani's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Mousa Dajjani was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 11, 2021PECOS EnrolledAccepts Medicare Assignment

200 HOSPITAL DR, SPENCER, WV 25276(304) 927-6822(304) 927-6814 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2024, Jul 13, 2021, May 11, 2021 (3 updates tracked since 2021).

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About Mousa Ghassan Dajjani M.d. NPPES

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

MOUSA GHASSAN DAJJANI M.D. (NPI 1336723758) is an individual family medicine provider in Spencer, West Virginia, licensed in West Virginia (33548) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Roane General Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1336723758

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMOUSA GHASSAN DAJJANICredential: M.D.

Location Address200 HOSPITAL DRSpencer, WV 25276-1050

Mailing Address200 Hospital DrSpencer, WV 25276-1050 · (304) 927-6822

Phone(304) 927-6822

Fax(304) 927-6814

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMay 11, 2021

Last NPPES UpdateJuly 24, 20243 updates tracked since enumeration

NPPES CertifiedJuly 24, 2024

✔ NPI 1336723758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WV · 33548

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

200 HOSPITAL DR, Spencer, WV 25276

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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

Mousa Ghassan Dajjani M.d. 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 ID648673269

PECOS Enrollment IDI20241105003423

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.

Hospital Affiliations CMS Care Compare

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

Roane General Hospital

Critical Access Hospitals · Spencer, WV

OwnershipVoluntary non-profit - Private

CMS Certification Number511306

Location200 Hospital DriveSpencer, WV 25276 · Roane County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25276 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

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.

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.

CAITLIN GOSS DO

Internal Medicine