NPIMap

Individual provider Active NPI

Ryan D Newell, D.O.

  • Family Medicine Physician
  • Fayetteville, WV
National Provider Identifier
1174516553
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1821 Issued in WV
Practice address
5493 Maple LN
Fayetteville, WV 25840-6872
Phone
(304) 469-3334
Fax
(304) 465-1735
NPI assigned
Aug 31, 2005
Last updated
Jan 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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 1821 WV Primary

Addresses

Primary practice location

5493 Maple LN
Fayetteville, WV 25840-6872

Mailing address

252 Rural Acres Dr
Beckley, WV 25801-3503
Phone (304) 253-2638

Other identifiers 10

IdentifierTypeStateIssuer
1802931000MedicaidWV
744504OtherWVCARELINK COMMERCIAL
P00445648OtherWVTRAVELERS MEDICARE
7795367OtherWVAETNA PIN
286060OtherWVMAMSI AND OPTIMUM CHOICE
513906OtherWVRURAL HEALTH PROVIDER NO
H29077OtherWVMEDICARE UPIN
001723050OtherWAMOUNTAIN STATE BCBS
2172766OtherWVUNITED HEALTHCARE-FFS
080188848OtherWVRAILROAD 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
I20050509000949 WV Practitioner - Family Practice 2365482312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Systems IncGroup PAC ID 6608785795, 36 clinicians

Practice addresses (Care Compare)

252 Rural Acres Dr
Beckley, WV 25801-3503

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.54 of 100Reported as group
Quality
92.57
Promoting interoperability
100
Improvement activities
40
Cost
69.24

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1821WVMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Systems Inc. CurrentSince Jan 12, 2025 Accepting new patients
Community Health Systems Inc CurrentSince Jun 25, 2007 Accepting new patients
Community Health Systems, Inc. CurrentSince Jun 25, 2007 Accepting new patients
National Emergency Services West Virginia Inc Past Accepting new patients
Fayette Clinic, PLLC Family Medicine Past Accepting new patients

Locations

252 Rural Acres Dr
Beckley, WV 25801
Phone (304) 252-8551

5493 Maple Ln
Fayetteville, WV 25840
Phone (304) 461-0068

Interoperability endpoints

  • Direct secure messaging: ryan.newell.1@14333.direct.athenahealth.com

Organizations & group practices 5

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1174516553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 RURAL ACRES DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013503",
            "telephone_number": "304-253-2638",
            "fax_number": "304-252-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5493 MAPLE LN",
            "city": "FAYETTEVILLE",
            "state": "WV",
            "postal_code": "258406872",
            "telephone_number": "304-469-3334",
            "fax_number": "304-465-1735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWELL",
        "first_name": "RYAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2025-01-09",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "1821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1802931000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARELINK COMMERCIAL",
            "identifier": "744504",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "P00445648",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "7795367",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI AND OPTIMUM CHOICE",
            "identifier": "286060",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RURAL HEALTH PROVIDER NO",
            "identifier": "513906",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UPIN",
            "identifier": "H29077",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNTAIN STATE BCBS",
            "identifier": "001723050",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE-FFS",
            "identifier": "2172766",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080188848",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, WV

Sources for this page

Verify at the official NPI Registry.