Active NPI
Jerry I Hadrych, DPM
- Podiatrist
- Fairmont, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 320
- Practice address
- 603 Alta Vista Ave
Fairmont, WV 26554-4185 - Phone
- (304) 333-3338
- Fax
- (304) 333-3201
- NPI assigned
- Aug 23, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 320 | WV | Primary |
Addresses
Primary practice location
603 Alta Vista Ave
Fairmont, WV 26554-4185
Mailing address
603 Alta Vista Ave
Fairmont, WV 26554-4185
Phone (304) 333-3338
Other practice location 1
3000 Mon Health Medical Park Dr Ste 3201
Morgantown, WV 26505-1170
Phone (304) 285-1460
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01623405 | Medicaid | PA | |
| WV00320 | Other | WV | STATE |
| 0099983000 | Medicaid | WV |
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: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 J D Anderson Dr
Morgantown, WV 26505-3494
Phone (304) 598-1200
150 Memorial Dr
Kingwood, WV 26537-1141
Phone (304) 329-1400
3280 University Ave
Suite 3
Morgantown, WV 26505-2266
603 Alta Vista Ave
Fairmont, WV 26554-4185
Phone (304) 333-3338
Hospital & facility affiliations
- Mon Health Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.94 of 100
- Quality
- 69.71
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 124 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1138 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 320 | WV | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monongalia County General Hospital Company | Current | Accepting new patients |
Locations
150 Memorial Dr
Kingwood, WV 26537
Phone (304) 329-4701
3000 Mon Health Medical Park Dr
Ste 3201
Morgantown, WV 26505
Phone (304) 285-1460
Interoperability endpoints
- jhadrych409973@direct.wvuhsdirect.com
Organizations & group practices 1
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.
-
- Specialist
- Morgantown, WV
- NPI 1447673223
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Morgantown, WV
- NPI 1659489631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744848000000",
"number": "1124010459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 ALTA VISTA AVE",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265544185",
"telephone_number": "304-333-3338",
"fax_number": "304-333-3201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 ALTA VISTA AVE",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265544185",
"telephone_number": "304-333-3338",
"fax_number": "304-333-3201"
}
],
"practiceLocations": [
{
"address_1": "3000 Mon Health Medical Park Dr Ste 3201",
"address_purpose": "LOCATION",
"city": "Morgantown",
"state": "WV",
"postal_code": "265051170",
"country_code": "US",
"telephone_number": "304-285-1460",
"fax_number": "304-285-2739",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HADRYCH",
"first_name": "JERRY",
"middle_name": "I",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-23",
"last_updated": "2025-04-17",
"certification_date": "2025-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "WV",
"license": "320",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01623405",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE",
"identifier": "WV00320",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0099983000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairmont, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.