SOUTH CHARLESTON CARDIOLOGY ASSOCIATES
NPI 1770706772
Specialist in South Charleston, WV

Active since April 10, 2007
428 DIVISION ST, SOUTH CHARLESTON, WV 25309(304) 766-3688 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About South Charleston Cardiology Associates NPPES

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

SOUTH CHARLESTON CARDIOLOGY ASSOCIATES (NPI 1770706772) is a healthcare organization registered as a specialist in South Charleston, West Virginia and active in the NPI registry since April 2007. The organization lists Karen Wazir, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1770706772
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTH CHARLESTON CARDIOLOGY ASSOCIATES
Location Address428 DIVISION STSouth Charleston, WV 25309-1469
Mailing Address428 Division StSouth Charleston, WV 25309-1469 · (304) 766-3688
Organization SubpartNo
Authorized OfficialKaren WazirOffice Manager · (304) 766-3688
Enumeration DateApril 10, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1770706772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
428 DIVISION ST, South Charleston, WV 25309

Other Identifiers 2

Medicaid0008983000WV
Other0001710722WV · Mt. St. Bc

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Charleston Cardiology Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateWest VirginiaEnrollment IDO20040416001238Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to South Charleston Cardiology Associates, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Cardiovascular Disease (Cardiology)
NPI 1689731622
4607 MACCORKLE AVE. SW SUITE 300
South Charleston, WV 25309
(304) 766-3688
✔ PECOS✔ Accepts Medicare0.1 mi
Interventional Cardiology
NPI 1043377062
4607 MACCORKLE AVENUE SW SUITE 300
So Charleston, WV 25309
(304) 766-3688
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1487033007
4607 MACCORKLE AVE SW SUITE 300
South Charleston, WV 25309
(304) 766-3688
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1831743616
4610 MACCORKLE AVE SW # 300
South Charleston, WV 25309
(304) 766-3688
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1447924469
987 ELLIOT ST
Saint Albans, WV 25177
(304) 982-2104
✔ PECOS✔ Accepts Medicare4.3 mi

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 South Charleston Cardiology Associates's NPI number?

The NPI number for South Charleston Cardiology Associates is 1770706772. It was assigned to this organization in the NPPES registry on April 10, 2007.

Where is South Charleston Cardiology Associates located?

South Charleston Cardiology Associates is located at 428 Division St, South Charleston, WV 25309. The listed phone number is (304) 766-3688.

What is South Charleston Cardiology Associates's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is South Charleston Cardiology Associates enrolled in Medicare?

Yes. South Charleston Cardiology Associates is registered in the Medicare PECOS enrollment system.

When is South Charleston Cardiology Associates's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (West Virginia, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through South Charleston Cardiology Associates?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to South Charleston Cardiology Associates. 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 (3), Cardiovascular Disease (Cardiology) (1) and Interventional Cardiology (1). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does South Charleston Cardiology Associates accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list South Charleston Cardiology Associates 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 South Charleston Cardiology Associates was last updated on August 22, 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.