Individual provider Active NPI

Andrew Vucelik, MD

  • Emergency Medicine Physician
  • Morgantown, WV
National Provider Identifier
1023403094
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
27954 Issued in WV
Practice address
1 Medical Center Drive
Room 4601
Morgantown, WV 26506
Phone
(304) 293-7215
Fax
(304) 293-6702
NPI assigned
Apr 6, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 27954 WV Primary

Addresses

Primary practice location

1 Medical Center Drive
Room 4601
Morgantown, WV 26506

Mailing address

PO Box 9149
1 Medical Center Drive Room 4601,
Morgantown, WV 26506-9149
Phone (304) 293-7215

Other practice location 1

117 Hospital Dr
Petersburg, WV 26847-9566
Phone (304) 257-1026

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address avucelik25886@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address avucelik25886@direct.wvuhsdirect.com Health Information Exchange (HIE)

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
I20180725001909 WV Practitioner - Emergency Medicine 6800199464 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
West Virginia University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 598-4865

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Hospitals Inc Current Accepting new patients
West Virginia University Hospitals, Inc. CurrentSince Apr 1, 2019 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jul 2, 2018 Accepting new patients
Reynold'S Memorial Hospital Inc CurrentSince Dec 1, 2018 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jul 2, 2018 Accepting new patients
West Virginia University Hospitals, Inc Emergency Medicine CurrentSince Apr 1, 2019 Accepting new patients

Locations

327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000

1 Amalia Dr
Buckhannon, WV 26201
Phone (304) 473-2000

800 Wheeling Ave
Glen Dale, WV 26038
Phone (304) 221-4520

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

1 Medical Center Dr
Rm 4601
Morgantown, WV 26506
Phone (304) 293-5323

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

117 Hospital Dr
Petersburg, WV 26847
Phone 30497450009312

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1023403094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9149",
            "address_2": "1 MEDICAL CENTER DRIVE ROOM 4601,",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265069149",
            "telephone_number": "304-293-7215",
            "fax_number": "304-293-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DRIVE",
            "address_2": "ROOM 4601",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "26506",
            "telephone_number": "304-293-7215",
            "fax_number": "304-293-6702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Petersburg",
            "state": "WV",
            "postal_code": "268479566",
            "country_code": "US",
            "telephone_number": "304-257-1026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VUCELIK",
        "first_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-06",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "27954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "avucelik25886@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Medical Center Dr",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265061200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "avucelik25886@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Medical Center Dr",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265061200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.