NPIMap

Individual provider Active NPI

Edward W. Kiggundu, MD

  • Radiation Oncology Physician
  • Martinsburg, WV
National Provider Identifier
1316933492
Registry record updated Sep 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
D0059245 Issued in WV
Practice address
2000 Foundation Way
Suite 1100
Martinsburg, WV 25401-9003
Phone
(304) 262-8800
Fax
(304) 262-8203
NPI assigned
Sep 23, 2005
Last updated
Sep 15, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X D0059245 WV Primary

Addresses

Primary practice location

2000 Foundation Way
Suite 1100
Martinsburg, WV 25401-9003

Mailing address

2234 Colonial Blvd
Fort Myers, FL 33907-1412
Phone (239) 931-7342

Other identifiers 7

IdentifierTypeStateIssuer
1000034742MedicaidDE
5990540OtherWVCIGNA PROVIDER NUMBER
01050264MedicaidVI
3810004107MedicaidWV
61647309OtherMDCARE FIRST BCBS PROV. #
5129591OtherWVMAMSI PROVIDER NUMBER
7960384OtherWVAETNA PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051129000318 WV Practitioner - Radiation Oncology 7810966488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Jefferson Medical College of Thomas Jefferson University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2000 Foundation Way
Suite 1100
Martinsburg, WV 25401-9030
Phone (304) 262-8800

Hospital & facility affiliations

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 Medicine

State licenses

LicenseStateTypeSpecialty
D0059245WVMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince May 21, 2024 Accepting new patients
West Virginia University Medical Corporation CurrentSince May 21, 2024 Accepting new patients
Kiggundu Radiation Therapy, PA Radiation Oncology Current Accepting new patients
21St Century Oncology of Harford County Maryland, LLC Radiation Oncology Past Accepting new patients
Vinita Patanaphan MD PA Radiation Oncology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Berlin Radiation Threapy Treatment Center, LLC Radiation Oncology Past Accepting new patients

Locations

2160 Colonial Blvd
Fort Myers, FL 33907

314 Franklin Ave
Berlin, MD 21811
Phone (410) 641-0277

314 Franklin Ave
Ste 201
Berlin, MD 21811
Phone (410) 629-0366

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

2000 Foundation Way
Ste 1100
Martinsburg, WV 25401
Phone (304) 262-8800

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

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

Hospital & facility affiliations 7

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": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189814400000",
    "number": "1316933492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 COLONIAL BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071412",
            "telephone_number": "239-931-7342",
            "fax_number": "239-931-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 FOUNDATION WAY",
            "address_2": "SUITE 1100",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254019003",
            "telephone_number": "304-262-8800",
            "fax_number": "304-262-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIGGUNDU",
        "first_name": "EDWARD",
        "middle_name": "W.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2007-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WV",
            "license": "D0059245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000034742",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NUMBER",
            "identifier": "5990540",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01050264",
            "state": "VI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810004107",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST BCBS PROV. #",
            "identifier": "61647309",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI PROVIDER NUMBER",
            "identifier": "5129591",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "7960384",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.