Active NPI
Charles M Siegler, MD
- Diagnostic Radiology Physician
- Huntington, WV
National Provider Identifier
1225015969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 19079
- Practice address
- 5221 US Route 60 E
Radiology Inc
Huntington, WV 25705-2022 - Phone
- (304) 522-1550
- Fax
- (304) 522-0704
- NPI assigned
- Dec 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 19079 | WV | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 33661 | KY | |
| Diagnostic Radiology Physician | 2085R0202X | 35080661S | 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 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001718780 | Other | MTN STATE BCBS | |
| 6494178400 | Medicaid | KY | |
| 55049337600 | Other | WV | WORKMANS COMP |
| 0122281000 | Medicaid | WV | |
| 1125654 | Other | KY | PASSPORT |
| 990005426 | Other | WV | RR MEDICARE (WV) |
| 2032357 | Medicaid | OH | |
| 000000196544 | Other | OH | UNISON |
| 5577303 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75.95 of 100
- Quality
- 67.56
- Improvement activities
- 40
- Cost
- 71.56
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33661 | KY | MD | Diagnostic Radiology Physician |
| 35080661S | OH | MD | Diagnostic Radiology Physician |
| 19079 | WV | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262908800000",
"number": "1225015969",
"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": "SIEGLER",
"first_name": "CHARLES",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-23",
"last_updated": "2010-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WV",
"license": "19079",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "KY",
"license": "33661",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "35080661S",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MTN STATE BCBS",
"identifier": "001718780",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6494178400",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKMANS COMP",
"identifier": "55049337600",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0122281000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "1125654",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE (WV)",
"identifier": "990005426",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2032357",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON",
"identifier": "000000196544",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5577303",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; 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.