Individual provider Active NPI

Michael Duane Cheshire, D.O.

  • Internal Medicine Physician
  • Parkersburg, WV
National Provider Identifier
1215218771
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2619 Issued in WV
Practice address
2838 Pike Street
Suite 1
Parkersburg, WV 26101
Phone
(304) 865-5070
Fax
(304) 489-4250
NPI assigned
Aug 29, 2011
Last updated
Apr 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ED0106B WV
Internal Medicine Physician 207R00000X 2619 WV Primary

Addresses

Primary practice location

2838 Pike Street
Suite 1
Parkersburg, WV 26101

Mailing address

2838 Pike Street
Suite 1
Parkersburg, WV 26101
Phone (304) 865-5070

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mcheshire113364@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address mcheshire113364@direct.wvuhsdirect.com Health Information Exchange (HIE)

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
I20130909000428 WV Practitioner - Internal Medicine 5890938070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
West Virginia School of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Camden-Clark Physician CorporationGroup PAC ID 5294885661, 345 clinicians

Practice addresses (Care Compare)

800 Garfield Ave
Parkersburg, WV 26101-5376
Phone (304) 424-2111

Hospital & facility affiliations

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
2619WVMDDentist
ED0106BWVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Camden-Clark Physician Corporation CurrentSince Aug 1, 2013 Accepting new patients
Camden Clark Memorial Hospital Corporation Past Accepting new patients

Locations

2838 Pike St
Ste 1
Parkersburg, WV 26101
Phone (304) 424-6214

800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161

800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405

800 Garfield Ave
Ste G102
Parkersburg, WV 26101
Phone (304) 424-4575

Interoperability endpoints

  • Direct secure messaging: mcheshire113364@direct.wvuhsdirect.com

Organizations & group practices 2

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 6

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": "1314576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1215218771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2838 PIKE STREET",
            "address_2": "SUITE 1",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "26101",
            "telephone_number": "304-865-5070",
            "fax_number": "304-489-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2838 PIKE STREET",
            "address_2": "SUITE 1",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "26101",
            "telephone_number": "304-865-5070",
            "fax_number": "304-489-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESHIRE",
        "first_name": "MICHAEL",
        "middle_name": "DUANE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-29",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "ED0106B",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "2619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcheshire113364@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "800 Garfield Ave Ste G102",
            "city": "Parkersburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261015376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcheshire113364@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "800 Garfield Ave",
            "city": "Parkersburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261015376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

Verify at the official NPI Registry.