Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MA Theresa Concepcion Bautista, MD

Individual provider Critical Care Medicine (Internal Medicine) Physician · NPI 1780973792

MA Theresa Concepcion Bautista, MD is a Critical Care (Intensivists) in Charleston, West Virginia. Qualified in 2002, 24 years ago. Practices with Charleston Area Medical Center Inc, a 968-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
24
Licensed in
WV
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

501 Morris St 3 West Administration
Charleston, WV 25301-1326
Phone: (304) 388-3574
Fax: (304) 388-6481
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence 25853 (WV)

Record details

NPI number1780973792
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2011
Last updated in NPPESNovember 24, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCRITICAL CARE (INTENSIVISTS)
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Charleston Area Medical Center Inc — 968 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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