Mountain State Vascular, Inc.
NPI 1104318625 · Vascular Surgery Physician · Beckley, WV
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mountain State Vascular, Inc. is a Vascular Surgery Physician organization in Beckley, WV (NPI 1104318625).
Provider details
- NPI number
- 1104318625
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brian Whyte, Owner(304) 250-0382
- License
- 22852 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-05-31
- Last updated
- 2024-05-22
- Certified
- 2024-05-22
Frequently asked questions
- What is Mountain State Vascular, Inc.'s NPI number?
- Mountain State Vascular, Inc.'s National Provider Identifier (NPI) is 1104318625, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mountain State Vascular, Inc.?
- Mountain State Vascular, Inc. is classified in the NPPES registry as Vascular Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Mountain State Vascular, Inc. located?
- Mountain State Vascular, Inc.'s practice location on file with NPPES is 121 George Street, Beckley, WV 25801.
- What is Mountain State Vascular, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Mountain State Vascular, Inc. is (304) 250-0382.
- Does Mountain State Vascular, Inc. accept Medicare?
- Mountain State Vascular, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mountain State Vascular, Inc.?
- The authorized official listed on Mountain State Vascular, Inc.'s NPPES record is Brian Whyte, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mountain State Vascular, Inc.'s NPI active?
- Yes — Mountain State Vascular, Inc.'s NPI (1104318625) is active in the NPPES registry as of the last update on 2024-05-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.