Individual provider Active NPI

Russell Nogot, MD

  • Internal Medicine Physician
  • Huntington, WV
National Provider Identifier
1255941076
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
32517 Issued in WV
Practice address
2900 1St Ave RM 1025
Huntington, WV 25702-1241
Phone
(304) 399-7484
Fax
(304) 399-7579
NPI assigned
Aug 6, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 32517 WV Primary

Addresses

Primary practice location

2900 1St Ave RM 1025
Huntington, WV 25702-1241

Mailing address

1249 15TH St
Huntington, WV 25701-3662
Phone (304) 691-1000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Russell.Nogot@SMMC-ascs.directstmarys.org

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
I20240119001815 WV Practitioner - Internal Medicine 7719304138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Hospitalist Services LLCGroup PAC ID 2062552763, 45 clinicians

Practice addresses (Care Compare)

2900 1St Ave
Huntington, WV 25702-1241
Phone (304) 399-7484

Hospital & facility affiliations

  • St Marys Medical Center Hospital, Huntington, WV, CCN 510007
  • Holzer Medical Center Hospital, Gallipolis, OH, CCN 360054

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32517WVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary'S Hospitalist Services, LLC Internal Medicine CurrentSince Dec 6, 2023 Accepting new patients
St. Mary'S Medical Center Inc Past Accepting new patients

Locations

2900 1st Ave
Rm 1025
Huntington, WV 25702
Phone (304) 399-7484

3075 US Route 60
Huntington, WV 25705
Phone (304) 733-0004

2900 1st Ave
#2E
Huntington, WV 25702
Phone (304) 399-2600

2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111

Interoperability endpoints

  • Direct secure messaging: russell.nogot@smmc-ascs.directstmarys.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/704af85e-ff7f-4141-a47d-5f79ab640202/

Organizations & group practices 2

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 2

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": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1255941076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1249 15TH ST",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013662",
            "telephone_number": "304-691-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 1ST AVE RM 1025",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257021241",
            "telephone_number": "304-399-7484",
            "fax_number": "304-399-7579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOGOT",
        "first_name": "RUSSELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-06",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "32517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Russell.Nogot@SMMC-ascs.directstmarys.org",
            "affiliation": "N",
            "endpointDescription": "St. Mary's Hospitalist Services, LLC",
            "address_1": "2900 1st Ave Rm 1025",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257021241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.