Individual provider Active NPI

Richard A Irvin

  • Family Medicine Physician
  • Wheeling, WV
National Provider Identifier
1083603336
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1279 Issued in WV
Practice address
2129 National Rd
Wheeling, WV 26003-5247
Phone
(304) 242-2303
Fax
(304) 242-4231
NPI assigned
Oct 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1279 WV Primary

Addresses

Primary practice location

2129 National Rd
Wheeling, WV 26003-5247

Mailing address

2129 National Rd
P.O. Box 2079
Wheeling, WV 26003-5247
Phone (304) 242-2303

Other identifiers 7

IdentifierTypeStateIssuer
0205733701OtherWVWV COMP
0053352001OtherWVPAAS
0053352001MedicaidWV
153563OtherWVCARELINK
1279COtherWVHEALTH PLAN OF THE UPPER
2310412MedicaidOH
001705854OtherWVBLUE CROSS/BLUE SHIELD/MT

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
I20060504001012 WV Practitioner - Family Practice 5193759611 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Wheeling, WV

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wheeling Hospital IncGroup PAC ID 5799689493, 433 clinicians

Practice addresses (Care Compare)

40 Medical Park
Suite 401
Wheeling, WV 26003-6392
Phone (304) 243-3880

Hospital & facility affiliations

  • Wvuhs Home Care Home health agency, Clarksburg, WV, CCN 517053
  • Wvuhs Home Care Home health agency, Saint Clairsville, OH, CCN 368439
  • Wheeling Hospital, Inc Hospital, Wheeling, WV, CCN 510050
  • Reynolds Memorial Hospital, Inc Hospital, Glen Dale, WV, CCN 510013
  • Barnesville Hospital Association, Inc Hospital, Barnesville, OH, CCN 361321

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1279NCMDOptometrist
1279WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard a. Irvin, DO CurrentSince Jan 1, 1990 Accepting new patients
P and P Health Services, Inc Past Accepting new patients

Locations

2129 National Rd
Wheeling, WV 26003
Phone (304) 242-2303

Practitioners & affiliated clinicians

Practitioners 1

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

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1083603336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2129 NATIONAL RD",
            "address_2": "P.O. BOX 2079",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035247",
            "telephone_number": "304-242-2303",
            "fax_number": "304-242-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2129 NATIONAL RD",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035247",
            "telephone_number": "304-242-2303",
            "fax_number": "304-242-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRVIN",
        "first_name": "RICHARD",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2007-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "1279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV COMP",
            "identifier": "0205733701",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAAS",
            "identifier": "0053352001",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0053352001",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARELINK",
            "identifier": "153563",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN OF THE UPPER",
            "identifier": "1279C",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2310412",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD/MT",
            "identifier": "001705854",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.