MOUNTAIN STATE VASCULAR, INC.
MOUNTAIN STATE VASCULAR, INC. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1104318625, based in Beckley, WV. It is classified under Vascular Surgery Physician.
Getting there
The practice address on file is 121 GEORGE STREET, Beckley, WV 25801. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 22852 | WV | Vascular Surgery Physician primary |
This provider holds licence 22852 issued in WV. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 1850639477
- Enrollment ID
- O20190206002180
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Vascular Surgery covers
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. NUCC Health Care Provider Taxonomy, code 2086S0129X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1104318625 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | May 31, 2018 |
| Last updated | May 22, 2024 |
| Status | Active |
| Practice address |
121 GEORGE STREET Beckley, WV 25801 (304) 250-0382 |
| Mailing address |
PO BOX 1267 Lewisburg, WV 24901 |
| Other identifiers |
1795
· Other (WV) 9ALVR · Other (WV) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 0 | 4 | 3 | 1 | 8 | 6 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 0 | 4 | 6 | 1 | 7 | 6 | 4 |
Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.