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

NPI Status: Active since March 22, 2007

Contact Information

1120 KANAWHA BLVD E STE 200
CHARLESTON, WV
ZIP 25301
Phone: (304) 400-4900
Fax: (304) 400-4907

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  • Organization
  • Internal Medicine
  • Accepts Insurance
  • CLIA Number: 51D1044564
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-22-2027

About MOUNTAIN STATE MEDICINE AND RHEUMATOLOGY PLLC

This page provides the complete NPI Profile along with additional information for Mountain State Medicine And Rheumatology Pllc, an internist established in Charleston, West Virginia operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1982720801 assigned on March 2007. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated January 2026. The provider's . The authorized official of this NPI record is Doshia K Petry Ward Cmom, Cmc,cmpm, Cma (Practice Manager)

NPI
1982720801
Provider Legal Name
MOUNTAIN STATE MEDICINE AND RHEUMATOLOGY PLLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1120 KANAWHA BLVD E STE 200 CHARLESTON, WV 25301
Location Phone
(304) 400-4900
Location Fax
(304) 400-4907
Mailing Address
1120 KANAWHA BLVD E STE 200 CHARLESTON, WV 25301
Mailing Phone
(304) 400-4900
Mailing Fax
(304) 400-4907
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-22-2007
Last Update Date
01-12-2026
Code Navigator

An internist like Mountain State Medicine And Rheumatology 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

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1174400000XOther Service Providers

Specialist

1818 (WV)
2174400000XOther Service Providers

Specialist

1767 (WV)
3207RR0500XAllopathic & Osteopathic Physicians

Internal Medicine
Rheumatology

 
4332900000XSuppliers

Non-Pharmacy Dispensing Site

 
5363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 
6363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

 

Insurance Plans Accepted

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

  • my Blue Access WV Major Events PPO Catastrophic 10600 - 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 9200 - 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 Premier Silver 0 - PPO
  • my Blue Access WV PPO Premier Silver 0 + Adult Dental and Vision - PPO
  • my Blue Access WV PPO Standard Bronze 7500 - PPO
  • my Blue Access WV PPO Standard Gold 2000 - PPO
  • my Blue Access WV PPO Standard Gold 2000 + Adult Dental and Vision - PPO
  • my Blue Access WV PPO Standard Silver 6000 - 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

DOSHIA K PETRY WARD CMOM, CMC,CMPM, CMA

Authorized Official Title
PRACTICE MANAGER
Authorized Official Phone
(304) 400-4900

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
51D1044564
Facility Type
Physician Office
Certificate Effective Date
August 23, 2025
Certificate Expiration Date
August 22, 2027
Laboratory Director
P REGINALD TRIPLETT DO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mountain State Medicine And Rheumatology 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 MOUNTAIN STATE MEDICINE AND RHEUMATOLOGY PLLC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1982720801, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
2
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
2
Unchanged
Pos 7
0
Doubled → 0
Pos 8
8
Unchanged
Pos 9
0
Doubled → 0
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 7 → 14 → 5 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 6 + 2 + 1 + 4 + 2 + 0 + 8 + 0 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1982720801.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Internal Medicine
1120 KANAWHA BLVD E STE 200
CHARLESTON, WV 25301
Nurse Practitioner (Family)
1120 KANAWHA BLVD E STE 200
CHARLESTON, WV 25301
Internal Medicine (Rheumatology)
1120 KANAWHA BLVD E STE 200
CHARLESTON, WV 25301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982720801, enumerated as an "organization" on March 22, 2007.

The provider is located at 1120 KANAWHA BLVD E STE 200 CHARLESTON, WV 25301 and the phone number is (304) 400-4900.

Internal Medicine with taxonomy code 207R00000X.

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