NPIMap

Individual provider Active NPI

Dina Marie Criniti, D.O.

  • Internal Medicine Physician
  • South Charleston, WV
National Provider Identifier
1063486942
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1623 Issued in WV
Practice address
707 Chestnut St
South Charleston, WV 25309-2003
Phone
(304) 768-8500
Fax
(304) 768-8530
NPI assigned
Feb 15, 2006
Last updated
Apr 4, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1623 WV Primary

Addresses

Primary practice location

707 Chestnut St
South Charleston, WV 25309-2003

Mailing address

707 Chestnut St
South Charleston, WV 25309-2003
Phone (304) 768-8500

Other identifiers 2

IdentifierTypeStateIssuer
0048568000MedicaidWV
800012270OtherWVRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100812000171 WV Practitioner - Internal MedicinePractitioner - Pediatric Medicine 9830288570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
West Virginia School of Osteopathic Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spring Hill Primary Care Physicians PLLCGroup PAC ID 7810932951, 5 clinicians

Practice addresses (Care Compare)

707 Chestnut St
South Charleston, WV 25309-2003
Phone (304) 768-8500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1623WVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Hill Primary Care Physicians PLLC Internal Medicine CurrentSince Aug 1, 2001 Accepting new patients
Kenmore Leasing Co., LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Hillcrest Health Care Center, LLC Past Accepting new patients

Locations

707 Chestnut St
South Charleston, WV 25309
Phone (304) 768-8500

Interoperability endpoints

  • Direct secure messaging: clinical@springhill.directbygreenway.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71959

Organizations & group practices 4

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301875200000",
    "number": "1063486942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 CHESTNUT ST",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253092003",
            "telephone_number": "304-768-8500",
            "fax_number": "304-768-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 CHESTNUT ST",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253092003",
            "telephone_number": "304-768-8500",
            "fax_number": "304-768-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRINITI",
        "first_name": "DINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2011-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "1623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0048568000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "800012270",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Charleston, WV

Sources for this page

Verify at the official NPI Registry.