DR. SHYAM J. THAKKAR M.D.
NPI 1437243383
Internal Medicine - Gastroenterology in Morgantown, WV

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506(304) 598-4800 Get Directions Write a Review

NPPES record last updated: April 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2022, Jul 16, 2021, Jan 11, 2021 and 3 more (6 updates tracked since 2017).

About Dr. Shyam J. Thakkar M.d. NPPES

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

DR. SHYAM J. THAKKAR M.D. (NPI 1437243383) is an individual gastroenterology provider in Morgantown, West Virginia, licensed in West Virginia (30113) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Garrett Regional Medical Center, and maintains a secondary practice location in Pittsburgh.

NPPES Registry Identity

NPI1437243383
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. SHYAM J. THAKKARCredential: M.D.
Location Address1 MEDICAL CENTER DRMorgantown, WV 26506-1200
Mailing Address1307 Federal St, Suite B100Pittsburgh, PA 15212-4769 · (412) 359-8900 · Fax (412) 359-8977
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2001
Enumeration DateOctober 3, 2006
Last NPPES UpdateApril 8, 20226 updates tracked since enumeration
NPPES CertifiedApril 8, 2022
NPI 1437243383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in WV · 30113 Licensed in PA · MD424393
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1 MEDICAL CENTER DR, Morgantown, WV 26506

Secondary Practice Location 1

Location 11307 Federal St, Suite B100Pittsburgh, PA 15212-4769 · Phone (412) 359-8900 · Fax (412) 359-8977

Other Identifiers 3

Medicaid102165370PA
Medicaid3810012598WV
Medicaid3114347OH

Accepted 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. Shyam J. Thakkar 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 ID6507932357
PECOS Enrollment IDI20210115000587
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 19

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.

Removal of stone or debris from bile or pancreatic duct using a flexible endoscope 43264
This procedure, called an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible tube with a camera (endoscope) to locate and remove stones or debris from your bile or pancreatic duct. It's a non-surgical method to clear the ducts, enhancing your digestive health.
80 services67 patients
Review by radiologist of image from tube placement into bile duct using an endoscope 74328
This procedure involves a specialist, called a radiologist, examining an image taken during a tube placement into your bile duct. The tube is inserted with the help of a tool called an endoscope. This allows the doctor to check for any issues or abnormalities in your bile duct.
78 services67 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
71 services61 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.
64 services50 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
52 services49 patients
Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43259
This procedure involves a flexible tube with a camera, called an endoscope, inserted through your mouth to examine your esophagus, stomach, and upper small bowel. An ultrasound device on the endoscope helps get detailed images. It's safe and helps diagnose various conditions.
51 services50 patients

Hospital Affiliations CMS Care Compare 5

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

Garrett Regional Medical Center

Acute Care Hospitals · Oakland, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210017
Location251 North Fourth StreetOakland, MD 21550 · Garrett County
Emergency services Birthing friendly

Uniontown Hospital

Acute Care Hospitals · Uniontown, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390041
Location500 West Berkeley StreetUniontown, PA 15401 · Fayette County
Emergency services

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26506 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

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.

Radiology (Neuroradiology)
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Nurse Practitioner (Pediatrics, Critical Care)
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Internal Medicine
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Nurse Practitioner
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Speech-Language Pathologist
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Nurse Practitioner (Family)
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Pharmacist
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506

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 Shyam Thakkar's NPI number?

The NPI number for Shyam Thakkar is 1437243383. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Shyam Thakkar located?

Shyam Thakkar practices at 1 Medical Center Dr, Morgantown, WV 26506. The listed phone number is (304) 598-4800.

What is Shyam Thakkar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Shyam Thakkar enrolled in Medicare?

Yes. Shyam Thakkar 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 Shyam Thakkar accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia and 1 other insurer list Shyam Thakkar 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 Shyam Thakkar affiliated with any hospitals?

According to CMS data, Shyam Thakkar is affiliated with Garrett Regional Medical Center, Uniontown Hospital, West Virginia University Hospitals, Inc, Reynolds Memorial Hospital and Wheeling Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Shyam Thakkar was last updated on April 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.