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

NPI Status: Active since May 05, 2015

Contact Information

527 MEDICAL PARK DR
STE 306-A
BRIDGEPORT, WV
ZIP 26330
Phone: (304) 933-3830
Fax: (304) 933-3837

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  • Organization
  • Internal Medicine
  • Cardiovascular Disease
  • Accepts Insurance
  • CLIA Number: 51D0967770
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-22-2025

About CLARKSBURG CARDIOVASCULAR PLLC

This page provides the complete NPI Profile along with additional information for Clarksburg Cardiovascular Pllc, an internist established in Bridgeport, West Virginia operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1750768149 assigned on May 2015. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Sathyanarayan M Reddy M.d. (Owner)

NPI
1750768149
Provider Name
CLARKSBURG CARDIOVASCULAR PLLC
Entity Type
Organization
Location Address
527 MEDICAL PARK DR STE 306-A BRIDGEPORT, WV 26330
Location Phone
(304) 933-3830
Location Fax
(304) 933-3837
Mailing Address
527 MEDICAL PARK DR STE 306-A BRIDGEPORT, WV 26330
Mailing Phone
(304) 933-3830
Mailing Fax
(304) 933-3837
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-05-2015
Last Update Date
07-29-2020
Code Navigator

An internist like Clarksburg Cardiovascular Pllc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Cardiovascular Disease

Taxonomy Code
207RC0000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze First 7500 $25 Generic Drugs - HMO
  • Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Gold 1500 $15 Generic Drugs - HMO
  • Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Low Deductible Silver 4500 $3 Generic Drugs - HMO
  • Low Deductible Silver 4500 $3 Generic Drugs Adult Vision & Fitness - HMO
  • Low Premium Silver 6000 $3 Generic Drugs - HMO
  • Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
  • Platinum Zero $5 Generic Drugs - HMO
  • Platinum Zero $5 Generic Drugs Adult Vision & Fitness - HMO
  • Silver 5000 $20 Generic Drugs - HMO
  • Silver 5000 $20 Generic Drugs Adult Vision & Fitness - HMO
  • my Blue Access WV Major Events PPO Catastrophic 9200 - 3 Free PCP Visits - PPO
  • my Blue Access WV PPO Bronze 3800 - PPO
  • my Blue Access WV PPO Bronze 3800 + Adult Dental and Vision - PPO
  • my Blue Access WV PPO Bronze 7400 HSA - Custom Drug Benefit - PPO
  • my Blue Access WV PPO Bronze 8900 - PPO
  • my Blue Access WV PPO Gold 0 - PPO
  • my Blue Access WV PPO Gold 0 + Adult Dental and Vision - PPO
  • my Blue Access WV PPO Gold 1700 HSA - PPO
  • my Blue Access WV PPO Premier Gold 0 - PPO
  • my Blue Access WV PPO Premier Gold 0 + Adult Dental and Vision - PPO
  • my Blue Access WV PPO Silver 7000 - PPO
  • my Blue Access WV PPO Standard Bronze 7500 - PPO
  • my Blue Access WV PPO Standard Gold 1500 - PPO
  • my Blue Access WV PPO Standard Silver 5000 - PPO
  • my Blue Access WV PPO Standard Silver 5000 + Adult Dental and Vision - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. SATHYANARAYAN M REDDY M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(304) 933-3830

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
51D0967770
Facility Type
Physician Office
Certificate Effective Date
November 23, 2023
Certificate Expiration Date
November 22, 2025
Laboratory Director
REDDY M. SATHYANARAYAN MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Clarksburg Cardiovascular Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for CLARKSBURG CARDIOVASCULAR PLLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750768149
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001461618
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 4 + 6 + 1 + 6 + 1 + 8 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1750768149 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

CLARKSBURG SURGICAL SPECIALISTS

Surgery

527 MEDICAL PARK DR
STE 202
BRIDGEPORT, WV
ZIP 26330

(304) 933-3855

DR. CARL R. FISCHER M.D.

Surgery

527 MEDICAL PARK DR
STE 303
BRIDGEPORT, WV
ZIP 26330

(304) 933-3872

DR. THOMAS JAMES KENNEDY III M.D.

Plastic Surgery

527 MEDICAL PARK DR
SUITE 203
BRIDGEPORT, WV
ZIP 26330

(681) 342-3190

DR. WANDA M HEMBREE M.D.

Obstetrics & Gynecology

527 MEDICAL PARK DR
SUITE 108
BRIDGEPORT, WV
ZIP 26330

(304) 848-2150

JAMIL AHMED, MD

Internal Medicine

(Pulmonary Disease)

527 MEDICAL PARK DR
SUITE 102
BRIDGEPORT, WV
ZIP 26330

(304) 933-3816

MS. AMY LYNN WOODRUFF LGSW

Social Worker

527 MEDICAL PARK DR
SUITE 105
BRIDGEPORT, WV
ZIP 26330

(304) 933-3885

ADVANCED PAIN AND REHAB CLINIC

Clinic/Center

(Pain)

527 MEDICAL PARK DR
SUITE 103
BRIDGEPORT, WV
ZIP 26330

(508) 414-1464

WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION

Clinical Medical Laboratory

527 MEDICAL PARK DR
SUITE 108
BRIDGEPORT, WV
ZIP 26330

(304) 848-2152

UNITED HOSPITAL CENTER INC

Family Medicine

527 MEDICAL PARK DR
SUITE 500
BRIDGEPORT, WV
ZIP 26330

(681) 342-3600

JULIE K MCCAMMON MD INC

Obstetrics & Gynecology

527 MEDICAL PARK DR
SUITE 104
BRIDGEPORT, WV
ZIP 26330

(304) 933-3868

DR. JULIE K. MCCAMMON M.D

Obstetrics & Gynecology

527 MEDICAL PARK DR
SUITE 104
BRIDGEPORT, WV
ZIP 26330

(304) 933-3868

MICHAEL T ANGOTTI MD PLLC

Internal Medicine

527 MEDICAL PARK DR
SUITE 307
BRIDGEPORT, WV
ZIP 26330

(304) 933-3332

BRIDGEPORT BEHAVIORAL MEDICINE

Clinic/Center

(Adult Mental Health)

527 MEDICAL PARK DR
SUITE 105
BRIDGEPORT, WV
ZIP 26330

(304) 933-3885

ANDREW R BUTCHER DO

Emergency Medicine

527 MEDICAL PARK DR
SUITE 500
BRIDGEPORT, WV
ZIP 26330

(681) 342-3600

DR. MICHAEL T. ANGOTTI MD

Internal Medicine

527 MEDICAL PARK DR
SUITE 307
BRIDGEPORT, WV
ZIP 26330

(304) 933-3332

ELLEN PALMER HOBAN APRN

Nurse Practitioner

(Psychiatric/Mental Health)

527 MEDICAL PARK DR
SUITE 105
BRIDGEPORT, WV
ZIP 26330

(304) 933-3885

JILL K GHERMAN DO

Family Medicine

527 MEDICAL PARK DR
SUITE 500
BRIDGEPORT, WV
ZIP 26330

(681) 342-3600

ASHLEE A SECRET MD

Family Medicine

527 MEDICAL PARK DR
SUITE 500
BRIDGEPORT, WV
ZIP 26330

(681) 342-3600

LESLIE D. MAVROMATIS LICSW

Counselor

(Mental Health)

527 MEDICAL PARK DR
BRIDGEPORT, WV
ZIP 26330

(304) 933-3885

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750768149, enumerated as an "organization" on May 05, 2015.

The provider is located at 527 MEDICAL PARK DR STE 306-A BRIDGEPORT, WV 26330 and the phone number is (304) 933-3830.

Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.

The provider might be accepting Accepts: CareSource and Highmark Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.