MICHAEL M. BOUSTANY MD – NPI #1619973096
Surgery

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Health Care Provider Taxonomy Code for Surgery

MICHAEL BOUSTANY is a surgeon located in SOUTH CHARLESTON, WV. NPPES has assigned the NPI number 1619973096 to MICHAEL BOUSTANY on June 22, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. He is also known by his former name MOHAMMAD M BOUSTANY. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery.

The NPI profile was previously updated about 4 years ago on Dec 22, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MICHAEL BOUSTANY below.

NPI Profile for
MICHAEL M. BOUSTANY

NPI Number
1619973096
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MICHAEL M. BOUSTANY
Former Name: MOHAMMAD M BOUSTANY
Credentials
MD
Primary location
434 DIVISION ST
SOUTH CHARLESTON, WV 25309
Phone: (304) 766-7140 Fax: (304) 766-7180
1 Other location(s):
4605 MacCorkle Ave SW
South Charleston, WV 25309-1311
Phone: (304) 414-4800
Mailing address
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309-1311
Phone: (304) 414-4800 Fax: (304) 414-4801
Sole Proprietor
No
Updated
Certification Date
Dec 22, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208600000X
- Surgery (Primary)		 WV 10600
2086S0129X
- Surgery / Vascular Surgery		 WV 10600

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
434 DIVISION ST,
SOUTH CHARLESTON, WV 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
4605 MACCORKLE AVE SW,
SOUTH CHARLESTON, WV 77025-1669

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MICHAEL BOUSTANY is affiliated with the following medical group(s):
  • HOSPITAL
    • BOONE MEMORIAL HOSPITAL
      701 MADISON AVENUE
      MADISON, WV 25130
    • CHARLESTON AREA MEDICAL CENTER
      501 MORRIS STREET
      CHARLESTON, WV 25301
    • THOMAS MEMORIAL HOSPITAL
      4605 MACCORKLE AVENUE SW
      SOUTH CHARLESTON, WV 25309

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.