Kevin J Blankenship, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

19121 Issued in WV

Practice address

63 Wharf St
Suite 100
Morgantown, WV 26501-5937

Phone

(304) 291-3627

Fax

(304) 598-3630

NPI assigned

Jul 18, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WV, CA, AZ3 enrollments

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 3

Specialty

Emergency Medicine

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ae Urgent Care - Van NuysGroup PAC ID 0749651750, 5 clinicians

Minnie Hamilton Health Care Center IncGroup PAC ID 2961311667, shared by 6 NPIs, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Minnie Hamilton Health System Hospital, Grantsville, WV, CCN 511303

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kevin.blankenship.1@14266.direct.athenahealth.com
• Direct secure messaging: kevin.blankenship.1@29357.direct.athenahealth.com

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

• Waterfront Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Morgantown, WV
  • NPI 1902477714
  Medicare reassignment NPD Authorized official
• Ae Urgent Care - Van Nuys

  • Urgent Care Clinic/Center
  • Van Nuys, CA
  • NPI 1265172266
  Medicare reassignment Care Compare group NPD
• Ventura Urgent Care Center Medical Corp

  dba Ventura Ugent Care Center

  • Urgent Care Clinic/Center
  • Ventura, CA
  • NPI 1164449971
  Medicare reassignment NPD
• Jacob's Ladder at Brookside Farm, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Aurora, WV
  • NPI 1205344355
  NPD (past) Authorized official
• Tabula Rasa, PLLC

  • Exclusive Provider Organization
  • Crab Orchard, WV
  • NPI 1730628025
  NPD (past) Authorized official
• Visit Healthcare

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Tempe, AZ
  • NPI 1245047737
  NPD
• Long Point Emergency Physicians LLC

  • Family Medicine Physician
  • Summersville, WV
  • NPI 1720471717
  NPD (past)
• Minnie Hamilton Health Care Center, Inc.

  dba Critical Access Hospital

  • Critical Access Hospital
  • Grantsville, WV
  • NPI 1124029400
  NPD (past)
• Minnie Hamilton Health Care Center, Inc.

  dba Physicians Group - Medicaid

  • Critical Access Hospital
  • Grantsville, WV
  • NPI 1881702538
  NPD (past)
• Urgent Care, Inc - West Virginia

  dba Urgent Care, Inc - West Virginia Summersville

  • Urgent Care Clinic/Center
  • Summersville, WV
  • NPI 1588103626

  Emergency Medicine

  NPD (past)
• West Virginia Em-I Medical Services

  • Emergency Medicine Physician
  • Summersville, WV
  • NPI 1598148553
  NPD (past)
• Conestoga Emergency Physicians LLC

  • Emergency Medicine Physician
  • Lancaster, PA
  • NPI 1275582843
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Minnie Hamilton Health Care Center, Inc.

  dba Critical Access Hospital

  • Critical Access Hospital
  • Grantsville, WV
  • NPI 1124029400
  Care Compare affiliation
• Minnie Hamilton Health Care Center, Inc.

  dba Swing Bed - Medicare

  • Medicare Defined Swing Bed Hospital Unit
  • Grantsville, WV
  • NPI 1356459002
  Care Compare affiliation

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1003815515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 WHARF ST",
            "address_2": "SUITE 100",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265015937",
            "telephone_number": "304-291-3627",
            "fax_number": "304-598-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 WHARF ST",
            "address_2": "SUITE 100",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265015937",
            "telephone_number": "304-291-3627",
            "fax_number": "304-598-3630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5725 Ralston St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930036053",
            "country_code": "US",
            "telephone_number": "805-658-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14614 Victory Blvd",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914111621",
            "country_code": "US",
            "telephone_number": "747-264-1212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANKENSHIP",
        "first_name": "KEVIN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2026-07-13",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "19121",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "C186856",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0047827000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MT STATE BCBS",
            "identifier": "550783964002",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN",
            "identifier": "WV19121A",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Blake, PTA
• Morgan Bland, PA-C
• Matthew Blaney, MD
• Stephanie Joann Blaney
• Josh Blankenship
• Valerie Blankenship
• Vincent Blankenship, DPT, ATC
• David C Blass, M.D.
• Joseph Robert Blatt, M.D.
• Abbi Blevins

• Emergency Medicine Physician in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Emergency Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.