1. Home
  2. Directory
  3. West Virginia
  4. Bridgeport
  5. Internal Medicine
  6. NPI Profile

CLARKSBURG CARDIOVASCULAR PLLC
NPI 1750768149
Internal Medicine - Cardiovascular Disease in Bridgeport, WV

Active since May 05, 2015CLIA 51D0967770 · Waiver
527 MEDICAL PARK DR, STE 306-A, BRIDGEPORT, WV 26330(304) 933-3830(304) 933-3837 Get Directions Write a Review

NPPES record last updated: July 29, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Clarksburg Cardiovascular Pllc NPPES

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

CLARKSBURG CARDIOVASCULAR PLLC (NPI 1750768149) is a healthcare organization registered as a cardiovascular disease in Bridgeport, West Virginia and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through November 22, 2027 and lists Sathyanarayan M Reddy, Owner, as its authorized official.

NPPES Registry Identity

NPI1750768149
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameCLARKSBURG CARDIOVASCULAR PLLC
Location Address527 MEDICAL PARK DR, STE 306-ABridgeport, WV 26330-9008
Mailing Address527 Medical Park Dr, Ste 306-aBridgeport, WV 26330-9008 · (304) 933-3830 · Fax (304) 933-3837
Phone(304) 933-3830
Fax(304) 933-3837
Organization SubpartNo
Authorized OfficialSathyanarayan M ReddyOwner · (304) 933-3830
Enumeration DateMay 5, 2015
Last NPPES UpdateJuly 29, 2020
NPPES CertifiedJuly 29, 2020
✔ NPI 1750768149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
527 MEDICAL PARK DR, Bridgeport, WV 26330
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 51D0967770

Clarksburg Cardiovascular PLLC · Bridgeport, WV
Active · expires Nov 22, 2027
CLIA Number51D0967770
Laboratory TypePhysician Office
Certificate Effective DateNovember 23, 2025
Certificate Expiration DateNovember 22, 2027
Laboratory DirectorReddy M. Sathyanarayan MD
Laboratory Phone(304) 933-3830
Laboratory LocationClarksburg Cardiovascular PLLC527 Medical Park Drive Suite 306-H, Bridgeport, WV 26330
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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. MICHAEL T. ANGOTTI MD
Internal Medicine
527 MEDICAL PARK DR, SUITE 307
BRIDGEPORT, WV 26330
Harrison County (304) 933-3332
KELLY ELIZABETH HUMPHREYS MD
Obstetrics & Gynecology
527 MEDICAL PARK DR
BRIDGEPORT, WV 26330
Harrison County (800) 607-8888
UNITED HOSPITAL CENTER INC
Family Medicine
527 MEDICAL PARK DR, SUITE 500
BRIDGEPORT, WV 26330
Harrison County (681) 342-3600
DR. JULIE K. MCCAMMON M.D
Obstetrics & Gynecology
527 MEDICAL PARK DR, SUITE 104
BRIDGEPORT, WV 26330
Harrison County (304) 933-3868
ASHLEE A SECRET MD
Family Medicine
527 MEDICAL PARK DR, SUITE 500
BRIDGEPORT, WV 26330
Harrison County (681) 342-3600
MARC LANCE COSTA MD
Surgery
527 MEDICAL PARK DR, SUITE 202
BRIDGEPORT, WV 26330
Harrison County (304) 933-3850
DR. WANDA M HEMBREE M.D.
Obstetrics & Gynecology
527 MEDICAL PARK DR, SUITE 108
BRIDGEPORT, WV 26330
Harrison County (304) 848-2150
DR. THOMAS JAMES KENNEDY III M.D.
Plastic Surgery
527 MEDICAL PARK DR, SUITE 203
BRIDGEPORT, WV 26330
Harrison County (681) 342-3190

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 Clarksburg Cardiovascular PLLC's NPI number?

The NPI number for Clarksburg Cardiovascular PLLC is 1750768149. It was assigned to this organization in the NPPES registry on May 5, 2015.

Where is Clarksburg Cardiovascular PLLC located?

Clarksburg Cardiovascular PLLC is located at 527 Medical Park Dr Ste 306-A, Bridgeport, WV 26330. The listed phone number is (304) 933-3830.

What is Clarksburg Cardiovascular PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Clarksburg Cardiovascular PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D0967770) is associated with this NPI, valid through November 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Clarksburg Cardiovascular PLLC accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Clarksburg Cardiovascular PLLC 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 Clarksburg Cardiovascular PLLC was last updated on July 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.