Individual provider Active NPI

Darrell K. Boggess, D.O.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Charleston, WV
National Provider Identifier
1255310249
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
1567 Issued in WV
Practice address
1001 Curtis Price Way
Charleston, WV 25311-1824
Phone
(304) 926-2200
Fax
(304) 926-2238
NPI assigned
Jan 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1567 WV
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 1567 WV Primary

Addresses

Primary practice location

1001 Curtis Price Way
Charleston, WV 25311-1824

Mailing address

1001 Curtis Price Way
Charleston, WV 25311-1824
Phone (304) 926-2200

Other identifiers 3

IdentifierTypeStateIssuer
0055315000MedicaidWV
001719575OtherBLUE CROSS BLUE SHIELD
5064588OtherAETNA

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
I20080728000362 WV Practitioner - Family PracticePractitioner - Hospice/Palliative Care 0446323455 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1567WVMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Kanawha Hospice Care, Inc. CurrentSince Jan 28, 2018 Accepting new patients
Kanawha Hospice Care, Inc Family Medicine CurrentSince Jan 28, 2018 Accepting new patients
Medexpress Urgent Care PLLC-Morgantown Past Accepting new patients

Locations

1606 Kanawha Blvd W
Charleston, WV 25387
Phone (304) 768-8523

1001 Curtis Price Way
Charleston, WV 25311
Phone (304) 926-2200

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1255310249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CURTIS PRICE WAY",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253111824",
            "telephone_number": "304-926-2200",
            "fax_number": "304-926-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CURTIS PRICE WAY",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253111824",
            "telephone_number": "304-926-2200",
            "fax_number": "304-926-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGGESS",
        "first_name": "DARRELL",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "1567",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "WV",
            "license": "1567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0055315000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "001719575",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5064588",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.