Individual provider Active NPI

Barry Michael Mitchell, M.D.

  • Internal Medicine Physician
  • Charleston, WV
National Provider Identifier
1003033317
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
22813 Issued in WV
Practice address
419 Brooks St
Charleston, WV 25301-1811
Phone
(304) 395-0401
NPI assigned
Apr 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 22813 WV
Internal Medicine Physician 207R00000X 22813 WV Primary

Addresses

Primary practice location

419 Brooks St
Charleston, WV 25301-1811

Mailing address

PO Box 1547
Charleston, WV 25326-1547
Phone (304) 395-0401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080917000004 WV Practitioner - Emergency Medicine 2365519345 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22813WVMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Hospitals, Inc. CurrentSince Mar 17, 2022 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Jan 16, 2017 Accepting new patients
Greenbrier Emergency Services, Inc. Emergency Medicine CurrentSince Nov 15, 2014 Accepting new patients
West Virginia University Hospitals, Inc Emergency Medicine CurrentSince Mar 17, 2022 Accepting new patients
West Virginia University Hospitals Inc Current Accepting new patients
Charleston Area Medical Center Inc CurrentSince Jan 16, 2017 Accepting new patients
New Century Emergency Physician of West Virginia Inc Emergency Medicine Past Accepting new patients

Locations

800 Pennsylvania Ave
Charleston, WV 25302
Phone (304) 388-2550

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550

401 6th Ave
Montgomery, WV 25136
Phone (304) 442-5151

800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161

601 Colliers Way
Weirton, WV 26062
Phone (304) 364-5156

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

Interoperability endpoints

  • Direct secure messaging: bmitchell112230@direct.wvuhsdirect.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1003033317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1547",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253261547",
            "telephone_number": "304-395-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 BROOKS ST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011811",
            "telephone_number": "304-395-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "BARRY",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "22813",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "22813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.