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MOUNTAIN STATE MEDICINE AND RHEUMATOLOGY PLLC
NPI 1982720801
Internal Medicine in Charleston, WV

Active since March 22, 2007CLIA 51D1044564 · Waiver
1120 KANAWHA BLVD E STE 200, CHARLESTON, WV 25301(304) 400-4900(304) 400-4907 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 12, 2026, Mar 27, 2025, Feb 25, 2025 and 1 more (4 updates tracked since 2022).

About Mountain State Medicine And Rheumatology Pllc NPPES

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

MOUNTAIN STATE MEDICINE AND RHEUMATOLOGY PLLC (NPI 1982720801), doing business as Msmr Specialty, is a healthcare organization registered as an internal medicine in Charleston, West Virginia and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through August 22, 2027 and lists Doshia K Petry Ward, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1982720801
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMOUNTAIN STATE MEDICINE AND RHEUMATOLOGY PLLC
Location Address1120 KANAWHA BLVD E STE 200Charleston, WV 25301-2400
Mailing Address1120 Kanawha Blvd E Ste 200Charleston, WV 25301-2400 · (304) 400-4900 · Fax (304) 400-4907
Phone(304) 400-4900
Fax(304) 400-4907
Organization SubpartNo
Authorized OfficialDoshia K Petry WardPractice Manager · (304) 400-4900
Enumeration DateMarch 22, 2007
Last NPPES UpdateJanuary 12, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
✔ NPI 1982720801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedSpecialistTaxonomy 174400000X · License 1818 (WV), 1767 (WV)
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X
Also ListedNon-Pharmacy Dispensing SiteTaxonomy 332900000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1120 KANAWHA BLVD E STE 200, Charleston, WV 25301
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Other Names 2

Doing Business AsMsmr Specialty
Other NameMsmr

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mountain State Medicine And Rheumatology Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Mountain State Medicine And Rheumatology PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Kara Dravenstott, FNP-BC
Nurse Practitioner
NPI 1386095586
1120 KANAWHA BLVD E STE 200
Charleston, WV 25301
(204) 400-4900
✔ PECOS✔ Accepts MedicareSame address
Leah Triplett, D.O.
Rheumatology
NPI 1679500532
1120 KANAWHA BLVD E STE 200
Charleston, WV 25301
(304) 400-4900
✔ PECOS✔ Accepts MedicareSame address
Phillip Triplett, D.O.
Internal Medicine
NPI 1083645758
1120 KANAWHA BLVD E STE 200
Charleston, WV 25301
(304) 400-4900
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 51D1044564

Mountain State Medicine & Rheumatology PLLC · Charleston, WV
Active · expires Aug 22, 2027
CLIA Number51D1044564
Laboratory TypePhysician Office
Certificate Effective DateAugust 23, 2025
Certificate Expiration DateAugust 22, 2027
Laboratory DirectorP Reginald Triplett Do
Laboratory Phone(304) 400-4900
Laboratory LocationMountain State Medicine & Rheumatology PLLC1120 Kanawha Boulevard East, Suite 200, Charleston, WV 25301
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Mountain State Medicine And Rheumatology PLLC's NPI number?

The NPI number for Mountain State Medicine And Rheumatology PLLC is 1982720801. It was assigned to this organization in the NPPES registry on March 22, 2007. The provider is doing business as MSMR Specialty. The provider is also known as Msmr.

Where is Mountain State Medicine And Rheumatology PLLC located?

Mountain State Medicine And Rheumatology PLLC is located at 1120 Kanawha Blvd E Ste 200, Charleston, WV 25301. The listed phone number is (304) 400-4900.

What is Mountain State Medicine And Rheumatology PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mountain State Medicine And Rheumatology PLLC enrolled in Medicare?

Yes. Mountain State Medicine And Rheumatology PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mountain State Medicine And Rheumatology PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Mountain State Medicine And Rheumatology PLLC, in Internal Medicine, Nurse Practitioner and Rheumatology. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mountain State Medicine And Rheumatology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D1044564) is associated with this NPI, valid through August 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mountain State Medicine And Rheumatology PLLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 26 other insurers list Mountain State Medicine And Rheumatology 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 Mountain State Medicine And Rheumatology PLLC was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.