Richard J Mailloux, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

18094 Issued in WV

Practice address

Dr. Richard Mailloux
198 Carriage Drive
Beckley, WV 25801-2804

Phone

(304) 256-4348

Fax

(681) 207-5101

NPI assigned

Jun 6, 2006

Last updated

Sep 18, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

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

Specialty

Gastroenterology

Education

Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Raleigh General Hospital LLCGroup PAC ID 6103735154, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Raleigh General Hospital Hospital, Beckley, WV, CCN 510070
• Camc Greenbrier Valley Medical Center, Inc Hospital, Ronceverte, WV, CCN 510002

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: richard.mailloux.1@20211.direct.athenahealth.com
• Direct secure messaging: richard.mailloux@wvafn.hcadirect.net

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.

• Raleigh General Hospital LLC

  dba Advanced Urology

  • Internal Medicine Physician
  • Beckley, WV
  • NPI 1114475746
  Medicare reassignment Care Compare group NPD
• Raleigh General Hospital LLC

  dba Gastroenterology of Southern WV

  • Gastroenterology Physician
  • Beckley, WV
  • NPI 1619307402
  NPD
• Raleigh General Hospital

  • General Acute Care Hospital
  • Beckley, WV
  • NPI 1285681023
  NPD (past)
• Raleigh General Hospital LLC

  • Hospitalist Physician
  • Beckley, WV
  • NPI 1417457250
  NPD (past)
• St. Mary's Himg, LLC

  • Internal Medicine Physician
  • Huntington, WV
  • NPI 1184233454

  Gastroenterology

  NPD (past)
• Ultimate Health Services Inc

  dba Huntington Internal Medicine Group

  • Family Medicine Physician
  • Huntington, WV
  • NPI 1467492975

  Gastroenterology

  NPD (past)

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

• Camc Greenbrier Valley Medical Center Inc

  • General Acute Care Hospital
  • Ronceverte, WV
  • NPI 1679299408
  Care Compare affiliation
• Raleigh General Hospital LLC

  dba Raleigh General Hospital

  • General Acute Care Hospital
  • Beckley, WV
  • NPI 1629015698
  Care Compare affiliation

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1215976188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DR. RICHARD MAILLOUX",
            "address_2": "198 CARRIAGE DRIVE",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012804",
            "telephone_number": "304-256-4348",
            "fax_number": "681-207-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DR. RICHARD MAILLOUX",
            "address_2": "198 CARRIAGE DRIVE",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012804",
            "telephone_number": "304-256-4348",
            "fax_number": "681-207-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAILLOUX",
        "first_name": "RICHARD",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WV",
            "license": "18094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0088257000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110103523",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64072697",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000691895",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "0151526",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Macdonald
• Andy Macdonald
• Ryan Macdonald
• Nicole Mackay
• Tanya Ann Maddy, NP-C
• Main Street Pharmacy Inc (Stanaford Infusion Services)
• Daniel Joseph Mainello, LPC
• Joan Maiolo
• Joseph A Maiolo, M.D.
• Lyndsey Maiolo

• Gastroenterology Physician in Beckley, WV
• Providers in Beckley, WV by specialty
• Gastroenterology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.

Verify at the official NPI Registry.