Active NPI
Richard A McNeilly, DO, FCCP
- Pulmonary Disease Physician
- Madison, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 3010
- Practice address
- 701 Madison Ave
Madison, WV 25130-1669 - Phone
- (304) 369-1230
- NPI assigned
- Jan 27, 2012
- Last updated
- Nov 12, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 3010 | TN | |
| Internal Medicine Physician | 207R00000X | T-2337 | MS | |
| Pulmonary Disease Physician | 207RP1001X | 58-004978 | OH | |
| Pulmonary Disease Physician | 207RP1001X | 115288 | MT | |
| Pulmonary Disease Physician | 207RP1001X | 90050 | SC | |
| Pulmonary Disease Physician | 207RP1001X | 3010 | TN | Primary |
Addresses
Primary practice location
701 Madison Ave
Madison, WV 25130-1669
Mailing address
32 Recter LN
South Charleston, WV 25309-9663
Phone (704) 300-9443
Other practice location 1
2205 Pavilion Dr
Suite 201B
Kingsport, TN 37660
Phone (423) 857-7650
Other practice location 2
350 Heritage Way Ste 2100
Kalispell, MT 59901-3167
Phone (406) 257-8992
Other practice location 3
125 Professional Park Dr
Seneca, SC 29678-2558
Phone (864) 482-3000
Other practice location 4
1130 W 4th St Ste 2001
Lawrence, KS 66044-1345
Phone (785) 505-3205
Other practice location 5
1130 W 4th St Ste 2050
Lawrence, KS 66044-1333
Phone (785) 505-3205
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30005177140001 | Medicaid | KS | |
| Q022431 | Medicaid | TN | |
| 1093087611 | Medicaid | VA |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | DEPTLHREVIntegrityHIMTechs@logan.org | Kalispell Regional Medical Center Inc | |
| Direct Messaging Address | richard.mcneilly@direct.lmh.org | Direct | |
| Direct Messaging Address | richard.mcneilly@direct.lmh.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, SC, OH, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1130 W 4TH St
2001 Lawrence Pulmonary Specialists
Lawrence, KS 66044-1328
Phone (785) 505-3205
945 Bethesda Dr
Suite 260
Zanesville, OH 43701-1880
Phone (740) 454-4788
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3649 | WV | MD | General Practice Dentistry |
| T-2337 | MS | MD | Internal Medicine Physician |
| 58-004978 | OH | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Genesis Medical Group LLC | Internal Medicine | Current | Accepting new patients |
| Genesis Medical Group, LLC | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Lawrence Physicians LLC | Pulmonary Disease | Current | Accepting new patients |
| Boone Memorial Hospital, Inc | Current | Accepting new patients | |
| Prisma Health University Medical Group | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of West Virginia- TCG PLLC | Internal Medicine | Current | Accepting new patients |
| Boone Memorial Hospital, Inc | Current | Accepting new patients | |
| Lawrence Physicians LLC | Current | Accepting new patients | |
| Boone Memorial Hospital, Inc | Current | Accepting new patients | |
| Lawrence Physicians LLC | Current | Accepting new patients | |
| Boone Memorial Hospital, Inc | Internal Medicine | Current | Accepting new patients |
| Blue Ridge Medical Management Corporation | Pulmonary Disease | Past | Accepting new patients |
| Lawrence Memorial Hospital | Past | Accepting new patients |
Locations
1130 W 4th St
Ste 2001
Lawrence, KS 66044
Phone (785) 505-3205
1130 W 4th St
Ste 2050
Lawrence, KS 66044
Phone (785) 505-3636
325 Maine St
Lawrence, KS 66044
Phone (785) 505-2988
2951 Maple Ave
Zanesville, OH 43701
Phone (740) 454-4000
945 Bethesda Dr
Ste 200
Zanesville, OH 43701
Phone (740) 454-4788
945 Bethesda Dr
Ste 260
Zanesville, OH 43701
Phone (740) 450-4180
945 Bethesda Dr
Ste 330
Zanesville, OH 43701
Phone (740) 454-4038
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
125 Professional Park Dr
Seneca, SC 29678
Phone (864) 482-3000
1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565
701 Madison Ave
Madison, WV 25130
Phone (304) 369-1230
4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800
Interoperability endpoints
- richard.mcneilly@direct.lmh.org
- rmcneilly351418@direct.wvuhsdirect.com
Organizations & group practices 17
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.
-
- General Practice Physician
- Zanesville, OH
- NPI 1063663433
Internal Medicine
-
dba LMH Hospitalist Physicians
- Hospitalist Physician
- Lawrence, KS
- NPI 1841607090
-
dba Boone Memorial Hospital
- Multi-Specialty Clinic/Center
- Madison, WV
- NPI 1285686725
-
- Internal Medicine Physician
- South Charleston, WV
- NPI 1386122844
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
Internal Medicine
-
- General Practice Physician
- Logan, WV
- NPI 1669708442
-
- Podiatrist
- Logan, WV
- NPI 1720032105
-
dba BMH Comfort Clinic
- Rural Health Clinic/Center
- Comfort, WV
- NPI 1407421431
-
dba Boone Memorial Hospital
- Critical Access Hospital
- Madison, WV
- NPI 1639135221
-
dba BMH Brighter Futures
- Psychiatry Physician
- Madison, WV
- NPI 1871141366
Internal Medicine
-
dba First Assist Urgent Care
- Urgent Care Clinic/Center
- Elizabethton, TN
- NPI 1144380833
-
- Durable Medical Equipment & Medical Supplies
- Coshocton, OH
- NPI 1144022187
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Genesis Outpatient Pharmacy
- Community/Retail Pharmacy
- Zanesville, OH
- NPI 1477150951
Hospital
-
- General Acute Care Hospital
- Zanesville, OH
- NPI 1598868655
-
dba Genesis Outpatient Pharmacy 1C
- Community/Retail Pharmacy
- Coshocton, OH
- NPI 1710839436
Hospital
-
- General Acute Care Hospital
- Hopkinsville, KY
- NPI 1235139312
-
- General Acute Care Hospital
- Lawrence, KS
- NPI 1508883422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1093087611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 RECTER LN",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "253099663",
"telephone_number": "704-300-9443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 MADISON AVE",
"city": "MADISON",
"state": "WV",
"postal_code": "251301669",
"telephone_number": "304-369-1230"
}
],
"practiceLocations": [
{
"address_1": "2205 Pavilion Dr",
"address_2": "SUITE 201B",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "37660",
"country_code": "US",
"telephone_number": "423-857-7650",
"fax_number": "423-857-7655",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "350 Heritage Way Ste 2100",
"address_purpose": "LOCATION",
"city": "Kalispell",
"state": "MT",
"postal_code": "599013167",
"country_code": "US",
"telephone_number": "406-257-8992",
"fax_number": "406-257-8996",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "125 Professional Park Dr",
"address_purpose": "LOCATION",
"city": "Seneca",
"state": "SC",
"postal_code": "296782558",
"country_code": "US",
"telephone_number": "864-482-3000",
"fax_number": "864-482-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1130 W 4th St Ste 2001",
"address_purpose": "LOCATION",
"city": "Lawrence",
"state": "KS",
"postal_code": "660441345",
"country_code": "US",
"telephone_number": "785-505-3205",
"fax_number": "785-505-5261",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1130 W 4th St Ste 2050",
"address_purpose": "LOCATION",
"city": "Lawrence",
"state": "KS",
"postal_code": "660441333",
"country_code": "US",
"telephone_number": "785-505-3205",
"fax_number": "785-505-5261",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCNEILLY",
"first_name": "RICHARD",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DO, FCCP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-27",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "3010",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MS",
"license": "T-2337",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "OH",
"license": "58-004978",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MT",
"license": "115288",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "SC",
"license": "90050",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TN",
"license": "3010",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30005177140001",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q022431",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1093087611",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "DEPTLHREVIntegrityHIMTechs@logan.org",
"affiliation": "Y",
"affiliationName": "Kalispell Regional Medical Center Inc",
"address_1": "350 Heritage Way Ste 2100",
"city": "Kalispell",
"state": "MT",
"country_code": "US",
"postal_code": "599013167",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "richard.mcneilly@direct.lmh.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1130 W 4th St Ste 2001",
"city": "Lawrence",
"state": "KS",
"country_code": "US",
"postal_code": "660441345",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "richard.mcneilly@direct.lmh.org",
"affiliation": "N",
"endpointDescription": "Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "1130 W 4th St Ste 2050",
"city": "Lawrence",
"state": "KS",
"country_code": "US",
"postal_code": "660441333",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Madison, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.