Individual provider Active NPI

David John Humphreys, MD

  • Psychiatry Physician
  • Barboursville, WV
National Provider Identifier
1295778660
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
14902 Issued in WV
Practice address
3450 US Route 60 E
Barboursville, WV 25504-1609
Phone
(304) 955-6300
Fax
(304) 733-5903
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 14902 WV Primary

Addresses

Primary practice location

3450 US Route 60 E
Barboursville, WV 25504-1609

Mailing address

3450 US Route 60 E
Barboursville, WV 25504-1609
Phone (304) 955-6300

Other identifiers 3

IdentifierTypeStateIssuer
0114725000MedicaidWV
260008887OtherRAILROAD MEDICARE
0743226MedicaidOH

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
I20080911000420 WV Practitioner - Psychiatry 6204825425 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit BHC West Virginia LLCGroup PAC ID 2860818499, 11 clinicians
Oncall Health and Aesthetic CareGroup PAC ID 9638472525, 10 clinicians

Practice addresses (Care Compare)

300 56TH St SE
Charleston, WV 25304-2308
Phone (304) 926-1600

402 C St
Ceredo, WV 25507-1515
Phone (304) 908-1204

Merit-based Incentive Payment System (MIPS)

Final score
50.17 of 100Reported as apm
Quality
55.61
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14902WVMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HHC River Park, Inc. CurrentSince Jun 1, 2008 Accepting new patients
Oncall Health and Aesthetic Care Psychiatry CurrentSince Nov 1, 2021 Accepting new patients
HHC River Park, Inc. CurrentSince Jun 1, 2008 Accepting new patients
St. Mary'S Medical Center Inc Past Accepting new patients
New Hope Christian Counseling Ctr Psychiatry Past Accepting new patients
David J. Humphreys, MD, Psychiatrist Inc. Psychiatry PastSince Jul 11, 2008 Accepting new patients
Summit BHC West Virginia LLC Past Accepting new patients

Locations

1230 6th Ave
Huntington, WV 25701
Phone (304) 526-9100

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/704af85e-ff7f-4141-a47d-5f79ab640202/
  • Direct secure messaging: humphreys-david@e3dfd6d2.micromddirect.com

Organizations & group practices 8

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308614400000",
    "number": "1295778660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 US ROUTE 60 E",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041609",
            "telephone_number": "304-955-6300",
            "fax_number": "304-733-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 US ROUTE 60 E",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041609",
            "telephone_number": "304-955-6300",
            "fax_number": "304-733-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREYS",
        "first_name": "DAVID",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2011-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WV",
            "license": "14902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0114725000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "260008887",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0743226",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barboursville, WV

Sources for this page

Verify at the official NPI Registry.