Active NPI
Ronald J Innerfield, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Huntington, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 036167675
- Practice address
- 1249 15TH St Ste 3000
Huntington, WV 25701 - Phone
- (304) 691-1000
- NPI assigned
- Jun 17, 2006
- Last updated
- Apr 16, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 036167675 | IL | Primary |
| Internal Medicine Physician | 207R00000X | 036167675 | IL | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 118187 | NY | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 68290 | WI | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | M-1859 | GU | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 28167 | WV | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MD61132366 | WA |
Addresses
Primary practice location
1249 15TH St Ste 3000
Huntington, WV 25701
Mailing address
1249 15TH St Ste 4093
Huntington, WV 25701-3662
Other practice location 1
133 Route 3
Dededo, GU 96929-6544
Phone (671) 645-5500 ext. 5544
Other practice location 2
133 Route 3
Dededo, GU 96929-6544
Phone (671) 645-5500 ext. 5544
Other practice location 3
105 W 8th Ave Ste 7010
Spokane, WA 99204-2312
Phone (509) 353-3901
Other practice location 4
3700 W 203rd St Ste 310
Olympia Fields, IL 60461-1182
Phone (708) 679-2130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02760016 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ronald.innerfield@marshall.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, IL, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- New York University School of Medicine, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
PO Box
Suite 5074
Sioux Falls, SD 57117
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-1859 | GU | MD | Endocrinology, Diabetes & Metabolism Physician |
| 036167675 | IL | MD | Endocrinology, Diabetes & Metabolism Physician |
| 118187 | NY | MD | Endocrinology, Diabetes & Metabolism Physician |
| 28167 | WV | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diabetes & Metabolism LLC | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| Physician Services Corporation of Southern Illinois Inc. | Internal Medicine | Current | Accepting new patients |
Locations
2 Good Samaritan Way
Ste 320
Mount Vernon, IL 62864
Phone (618) 899-1944
2 Good Samaritan Way
Ste 420
Mount Vernon, IL 62864
Phone (618) 899-4000
1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020
Interoperability endpoints
- ronald.innerfield@marshall.cernerdirect.com
Organizations & group practices 3
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.
-
dba SSM Health Medical Group
- Internal Medicine Physician
- Mount Vernon, IL
- NPI 1831101807
-
- Endocrinology, Diabetes & Metabolism Physician
- Glen Cove, NY
- NPI 1528304342
-
dba Sanford Health Kelliher Clinic
- Family Medicine Physician
- Kelliher, MN
- NPI 1770849697
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Joe Lueken Cancer Center
- Internal Medicine Physician
- Bemidji, MN
- NPI 1780628149
Hospital
-
dba Sanford Bemidji Medical Center
- Rural Acute Care Hospital
- Bemidji, MN
- NPI 1801870191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713225600000",
"number": "1063457950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1249 15TH ST STE 4093",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257013662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1249 15TH ST STE 3000",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "25701",
"telephone_number": "304-691-1000"
}
],
"practiceLocations": [
{
"address_1": "133 Route 3",
"address_purpose": "LOCATION",
"city": "Dededo",
"state": "GU",
"postal_code": "969296544",
"country_code": "US",
"telephone_number": "671-645-5500 x5544",
"fax_number": "671-645-5549",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "133 Route 3",
"address_purpose": "LOCATION",
"city": "Dededo",
"state": "GU",
"postal_code": "969296544",
"country_code": "US",
"telephone_number": "671-645-5500 x5544",
"fax_number": "671-645-5549",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "105 W 8th Ave Ste 7010",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992042312",
"country_code": "US",
"telephone_number": "509-353-3901",
"fax_number": "509-227-7070",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3700 W 203rd St Ste 310",
"address_purpose": "LOCATION",
"city": "Olympia Fields",
"state": "IL",
"postal_code": "604611182",
"country_code": "US",
"telephone_number": "708-679-2130",
"fax_number": "708-679-2260",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "INNERFIELD",
"first_name": "RONALD",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-17",
"last_updated": "2024-04-16",
"certification_date": "2024-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "IL",
"license": "036167675",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036167675",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NY",
"license": "118187",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "WI",
"license": "68290",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "GU",
"license": "M-1859",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "WV",
"license": "28167",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "WA",
"license": "MD61132366",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02760016",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ronald.innerfield@marshall.cernerdirect.com",
"affiliation": "N",
"address_1": "1249 15th St Ste 3000",
"city": "Huntington",
"state": "WV",
"country_code": "US",
"postal_code": "25701",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Huntington, WV
- Imagine Station WV LLC (Imagination Station WV)
- Habiba Imran
- Muhammad Inam Ul Haq, MD
- Independent Neurosurgery of West Virginia
- Infinity PLLC
- Lauren Danielle Inners Logan, D.O.
- Integrative Recovery Care LLC
- Zahid Iqbal, M.D
- Ironton Physical Therapy Inc (Tri State Rehab Services)
- David Curtis Ison, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.