ANTHONY ROOHOLLAHI MD
NPI 1831576578
Internal Medicine - Pulmonary Disease in Charleston, WV

Q: What is Anthony Roohollahi's NPI number?

The NPI number for Anthony Roohollahi is 1831576578. It was assigned to this individual provider in the NPPES registry on May 1, 2015.

Q: What is Anthony Roohollahi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Active since May 01, 2015PECOS EnrolledAccepts Medicare Assignment

90.11/100

CMS Quality Rating

3100 MACCORKLE AVE SE STE 205, CHARLESTON, WV 25304(304) 409-4228(304) 388-2303 Get Directions Write a Review

NPPES record last updated: July 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2021, Jul 27, 2018 (2 updates tracked since 2018).

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About Anthony Roohollahi Md NPPES

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

ANTHONY ROOHOLLAHI MD (NPI 1831576578) is an individual pulmonary disease provider in Charleston, West Virginia, licensed in West Virginia (28381) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1831576578

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameANTHONY ROOHOLLAHICredential: MD

Location Address3100 MACCORKLE AVE SE STE 205Charleston, WV 25304-1228

Mailing Address1421 Virginia St ECharleston, WV 25301-3013 · (304) 395-5837

Phone(304) 409-4228

Fax(304) 388-2303

Sole ProprietorNo

Medical School CMSWest Virginia University School Of MedicineGraduated 2015

Enumeration DateMay 1, 2015

Last NPPES UpdateJuly 21, 20212 updates tracked since enumeration

NPPES CertifiedJuly 21, 2021

✔ NPI 1831576578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in WV · 28381

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 28381 (WV)

3100 MACCORKLE AVE SE STE 205, Charleston, WV 25304

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Secondary Practice Locations 2

Location 1101 Stadium DrMorgantown, WV 26506-7911 · Phone (304) 598-4850 · Fax (304) 598-4871

Location 21350 S Kings Dr, 3rd FloorCharlotte, NC 28207-2134 · Phone (704) 446-1242 · Fax (704) 446-1241

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Anthony Roohollahi Md 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 ID8628346392

PECOS Enrollment IDI20210803002049

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 11

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.

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.

130 services83 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

81 services34 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

73 services59 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

40 services39 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

35 services35 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

33 services33 patients

Hospital Affiliations CMS Care Compare

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510022

Location501 Morris StreetCharleston, WV 25301 · Kanawha County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25304 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.

90.11/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

66.96

Promoting Interoperability

100

Improvement Activities

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.

VIKHYATH TERLA M.D.

Internal Medicine (Pulmonary Disease)