Individual provider Active NPI

Ricky Jack Compton, MD

  • Diagnostic Radiology Physician
  • Huntington, WV
National Provider Identifier
1215914809
Registry record updated Jan 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
19768 Issued in WV
Practice address
5221 US Route 60 E
Radiology Inc
Huntington, WV 25705-2022
Phone
(304) 522-1550
Fax
(304) 522-0704
NPI assigned
Dec 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 19768 WV Primary
Diagnostic Radiology Physician 2085R0202X 36162 KY
Diagnostic Radiology Physician 2085R0202X 35-081148-C OH

Addresses

Primary practice location

5221 US Route 60 E
Radiology Inc
Huntington, WV 25705-2022

Mailing address

PO Box 910
Radiology Inc
Huntington, WV 25712-0910
Phone (304) 522-1550

Other identifiers 10

IdentifierTypeStateIssuer
7027126OtherAETNA
7200297000MedicaidWV
P00766033OtherKYRR MEDICARE (KY)
300114636OtherWVRR MEDICARE (WV)
6402538000MedicaidKY
000000196595OtherOHUNISON
50007265OtherKYPASSPORT
001718781OtherMTN STATE BCBS
2140123MedicaidOH
55049337600OtherWVWORKMANS COMP

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
I20051221000264 WV Practitioner - Diagnostic Radiology 8628961802 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-081148-COHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Mountains Medical, LLC Diagnostic Radiology CurrentSince Aug 1, 2021 Accepting new patients
Premier Imaging and Intervention, PLLC Diagnostic Radiology CurrentSince Feb 1, 2014 Accepting new patients

Locations

105 S Eisenhower Dr
Beckley, WV 25801
Phone (304) 255-6404

223 Dry Hill Rd
Beckley, WV 25801

400 Court St
#303
Charleston, WV 25301
Phone (304) 345-1503

3448 US Route 60
Huntington, WV 25705
Phone 3045521550 ext. 229

454 McDowell St
Welch, WV 24801
Phone (304) 436-8461

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.

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262908800000",
    "number": "1215914809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910",
            "address_2": "RADIOLOGY INC",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257120910",
            "telephone_number": "304-522-1550",
            "fax_number": "304-522-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5221 US ROUTE 60 E",
            "address_2": "RADIOLOGY INC",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257052022",
            "telephone_number": "304-522-1550",
            "fax_number": "304-522-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMPTON",
        "first_name": "RICKY",
        "middle_name": "JACK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2010-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WV",
            "license": "19768",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "36162",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35-081148-C",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7027126",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7200297000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE (KY)",
            "identifier": "P00766033",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE (WV)",
            "identifier": "300114636",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6402538000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "000000196595",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50007265",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MTN STATE BCBS",
            "identifier": "001718781",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2140123",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKMANS COMP",
            "identifier": "55049337600",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.