Individual provider Active NPI

Charles M Siegler, MD

  • Diagnostic Radiology Physician
  • Huntington, WV
National Provider Identifier
1225015969
Registry record updated Jan 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
19079 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 23, 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 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

IdentifierTypeStateIssuer
001718780OtherMTN STATE BCBS
6494178400MedicaidKY
55049337600OtherWVWORKMANS COMP
0122281000MedicaidWV
1125654OtherKYPASSPORT
990005426OtherWVRR MEDICARE (WV)
2032357MedicaidOH
000000196544OtherOHUNISON
5577303OtherAETNA

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
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75.95 of 100Reported as group
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

LicenseStateTypeSpecialty
33661KYMDDiagnostic Radiology Physician
35080661SOHMDDiagnostic Radiology Physician
19079WVMDDiagnostic 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

Verify at the official NPI Registry.