Individual provider Active NPI

Christopher Eugene Kincaid, M.D.

  • Family Medicine Physician
  • Beckley, WV
National Provider Identifier
1255538765
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23679 Issued in WV
Practice address
252 Rural Acres Dr
Beckley, WV 25801-3503
Phone
(304) 252-8555
Fax
(304) 252-0109
NPI assigned
Jun 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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 23679 WV Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

252 Rural Acres Dr
Beckley, WV 25801-3503

Mailing address

252 Rural Acres Dr
Beckley, WV 25801-3503
Phone (304) 253-2628

Other identifiers 1

IdentifierTypeStateIssuer
2033791OtherWVMEDICARE PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ckincaid202003@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100921000732 WV Practitioner - Family Practice 8628193182 Reassigns benefits to 2 organizations
I20190418000773 PA Practitioner - Family Practice 8628193182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

250 Retail Cir
Suite 106
Morgantown, WV 26508-1647
Phone (304) 598-4881

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23679WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Physician Services Family Medicine CurrentSince Apr 15, 2019 Accepting new patients
West Virginia University Medical Corporation CurrentSince Sep 15, 2020 Accepting new patients
Community Health Systems Inc. Family Medicine CurrentSince Aug 2, 2010 Accepting new patients
West Virginia University Medical Corporation Family Medicine CurrentSince Sep 15, 2020 Accepting new patients
Community Health Systems, Inc. Current Accepting new patients

Locations

190 N Main St
Ste 204
Washington, PA 15301
Phone (724) 223-9335

95 Leonard Ave
Bldg 2
Washington, PA 15301
Phone (724) 223-3100

343 E Roy Furman Hwy
Ste 105
Waynesburg, PA 15370
Phone (724) 222-5635

401 Grey Flats Rd
Beckley, WV 25801
Phone (304) 461-3304

202 Bill Baker Way
Beckley, WV 25801
Phone (304) 461-1110

390 Stanaford Rd
Beckley, WV 25801
Phone (304) 461-3320

252 Rural Acres Dr
Beckley, WV 25801
Phone (304) 252-8551

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

250 Retail Cir
Ste 106
Morgantown, WV 26508
Phone (304) 598-4881

250 Retail Cir
Morgantown, WV 26508
Phone (304) 598-4881

300 Hinton Rd
Shady Spring, WV 25918
Phone (304) 252-8551

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1255538765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 RURAL ACRES DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013503",
            "telephone_number": "304-253-2628",
            "fax_number": "304-252-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 RURAL ACRES DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013503",
            "telephone_number": "304-252-8555",
            "fax_number": "304-252-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINCAID",
        "first_name": "CHRISTOPHER",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-28",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "23679",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "2033791",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ckincaid202003@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "250 Retail Cir",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265081676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.