Individual provider Active NPI

Matthew P Darmelio, M.D.

  • Orthopaedic Surgery Physician
  • Morgantown, WV
National Provider Identifier
1295701167
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
18430 Issued in WV
Practice address
200 Orthopedic Way
Morgantown, WV 26505-1240
Phone
(304) 599-0720
Fax
(304) 599-3962
NPI assigned
Feb 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 18430 WV Primary

Addresses

Primary practice location

200 Orthopedic Way
Morgantown, WV 26505-1240

Mailing address

200 Orthopedic Way
Morgantown, WV 26505-1240
Phone (304) 599-0720

Other identifiers 1

IdentifierTypeStateIssuer
1805056001MedicaidWV

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
I20050427000015 WV Practitioner - Orthopedic Surgery 6709825011 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mountainstate Orthopedic Associates, Inc. Orthopaedic Surgery CurrentSince Jun 1, 2005 Accepting new patients
Doyle R. Sickles, MD Inc. Orthopaedic Surgery Past Accepting new patients

Locations

200 Orthopedic Way
Morgantown, WV 26505
Phone (304) 599-0720

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.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277251200000",
    "number": "1295701167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ORTHOPEDIC WAY",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051240",
            "telephone_number": "304-599-0720",
            "fax_number": "304-599-3962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ORTHOPEDIC WAY",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051240",
            "telephone_number": "304-599-0720",
            "fax_number": "304-599-3962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARMELIO",
        "first_name": "MATTHEW",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2010-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WV",
            "license": "18430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1805056001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.