Organization Active NPI

Heartnexus Inc

  • Cardiovascular Disease Physician
  • Morgantown, WV
National Provider Identifier
1083162739
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
17895 Issued in WV
Legal business name
HEARTNEXUS INC
Practice address
1054 Maple Dr Ste a
Morgantown, WV 26505-2815
Phone
(304) 282-4000
NPI assigned
Sep 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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

Authorized official

Name
Robert James Beto II, MDNPI 1346309267
Title
President
Phone
(304) 282-4000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 17895 WV
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 17895 WV Primary
Pediatric Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0202X 20557 WV
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X NJ

Addresses

Primary practice location

1054 Maple Dr Ste a
Morgantown, WV 26505-2815

Mailing address

1054 Maple Dr Ste a
Morgantown, WV 26505-2815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161115000270 WV Part B Supplier - Clinic/Group Practice 4688953649 Receives reassigned benefits from 4 practitioners
Practice locations: Williamson, WV; Fairmont, WV; Morgantown, WV; Montgomery, WV; Bridgeport, WV

National Provider Directory

National Provider Directory

Locations

9822 Tapestry Park Cir
Ste 2089
Jacksonville, FL 32246

3 Brendenwood Dr
Voorhees, NJ 08043
Phone (856) 874-0202

409 W Main St
Bridgeport, WV 26330
Phone (304) 367-9170

1054 Maple Dr
#A
Morgantown, WV 26505
Phone (301) 560-1590

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628208000000",
    "number": "1083162739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 MAPLE DR STE A",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 MAPLE DR STE A",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052815",
            "telephone_number": "304-282-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTNEXUS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-12",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A",
        "authorized_official_last_name": "BETO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-282-4000",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "17895",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WV",
            "license": "17895",
            "primary": true
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "WV",
            "license": "20557",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.