ALBA SANJUAN SANJUAN MD
NPI 1881203156
Oral & Maxillofacial Surgery in Charleston, WV

Q: What is Alba Sanjuan Sanjuan's NPI number?

The NPI number for Alba Sanjuan Sanjuan is 1881203156. It was assigned to this individual provider in the NPPES registry on July 23, 2020.

Q: What is Alba Sanjuan Sanjuan's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Active since July 23, 2020PECOS EnrolledAccepts Medicare Assignment

90.11/100

CMS Quality Rating

415 MORRIS ST STE 309, CHARLESTON, WV 25301(304) 388-3290(304) 388-3186 Get Directions Write a Review

NPPES record last updated: September 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 25, 2022, Aug 1, 2022, Jul 25, 2022 and 1 more (4 updates tracked since 2020).

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About Alba Sanjuan Sanjuan Md NPPES

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

ALBA SANJUAN SANJUAN MD (NPI 1881203156) is an individual oral & maxillofacial surgery provider in Charleston, West Virginia, licensed in West Virginia (31823) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1881203156

Entity TypeIndividualFemale

Primary Taxonomy204E00000X

Provider Legal NameALBA SANJUAN SANJUANCredential: MD

Location Address415 MORRIS ST STE 309Charleston, WV 25301

Mailing Address415 Morris St Ste 309Charleston, WV 25301-1853 · (304) 388-3290 · Fax (304) 388-3186

Phone(304) 388-3290

Fax(304) 388-3186

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJuly 23, 2020

Last NPPES UpdateSeptember 25, 20224 updates tracked since enumeration

NPPES CertifiedSeptember 25, 2022

✔ NPI 1881203156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code204E00000X

Licenses✔ Licensed in WV · 31823✔ Licensed in MI · 4352000978

Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

415 MORRIS ST STE 309, Charleston, WV 25301

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Secondary Practice Location 1

Location 11327 Azalea DrJacksonville, FL 32205-8310 · Phone (904) 947-9227

Accepted Insurance

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

Alba Sanjuan Sanjuan 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 ID9739506494

PECOS Enrollment IDI20230313000540

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 4

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

25 services25 patients

Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less 15004

This procedure involves preparing a specific area of your body, such as the face, scalp, neck, or extremities, for a skin graft. A skin graft is a surgical procedure where healthy skin is transferred to an area of the body that has lost skin. This preparation ensures the graft will take hold effectively.

19 services17 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

19 services15 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

15 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510029

Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County

Emergency services Birthing friendly

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

Leave this field empty

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID PAUL WISE MD, DDS

Oral & Maxillofacial Surgery