Individual provider Active NPI

Juan Carlo Avalon, DO

  • Student in an Organized Health Care Education/Training Program
  • Morgantown, WV
National Provider Identifier
1295239614
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1 Medical Center Drive
Morgantown, WV 26506
Phone
(304) 293-2463
Fax
(304) 293-5160
NPI assigned
Mar 20, 2018
Last updated
Sep 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU Primary
Cardiovascular Disease Physician 207RC0000X 3828 WV

Addresses

Primary practice location

1 Medical Center Drive
Morgantown, WV 26506

Mailing address

1 Medical Center Drive
P.O. Box 9001-a
Morgantown, WV 26506
Phone (304) 293-2463

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
I20220324000965 WV Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Hospitalist 4981940863 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3828WVMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Aug 1, 2025 Accepting new patients
Camden-Clark Physician Corporation CurrentSince Aug 1, 2025 Accepting new patients
United Hospital Center, Inc. Cardiovascular Disease CurrentSince Sep 29, 2025 Accepting new patients
Camden Clark Memorial Hospital Corporation Past Accepting new patients
United Hospital Center Past Accepting new patients

Locations

327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000

1013 N Randolph Ave
Elkins, WV 26241
Phone (681) 342-3000

105 Nathan St
Fl 1
Elkins, WV 26241
Phone (304) 637-3897

1325 Locust Ave
Fairmont, WV 26554
Phone (304) 367-7100

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

1013 Garfield Ave
Parkersburg, WV 26101
Phone (304) 424-4574

800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1295239614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DRIVE",
            "address_2": "P.O. BOX 9001-A",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "26506",
            "telephone_number": "304-293-2463",
            "fax_number": "304-293-5160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DRIVE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "26506",
            "telephone_number": "304-293-2463",
            "fax_number": "304-293-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVALON",
        "first_name": "JUAN CARLO",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-20",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WV",
            "license": "3828",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.