Individual provider Active NPI

Anish Hardeep Trehun, MD

  • Pediatrics Physician
  • Ripley, WV
National Provider Identifier
1366639023
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD456406 Issued in PA
Practice address
130 Greenbrier Dr
Ripley, WV 25271-1645
Phone
(806) 335-5040
NPI assigned
Sep 26, 2007
Last updated
Aug 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD456406 PA Primary
Pediatrics Physician 208000000X 24341 WV

Addresses

Primary practice location

130 Greenbrier Dr
Ripley, WV 25271-1645

Mailing address

1 Hospital Way
Butler Hospital Care Associates
Butler, PA 16001-4670
Phone (724) 284-5670

Other practice location 1

1 Medical Park
Wheeling, WV 26003-6379
Phone (304) 243-7181

Other identifiers 1

IdentifierTypeStateIssuer
3810020223MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120222000911 WV Practitioner - Pediatric Medicine 4789842725 Reassigns benefits to 1 organization
I20210810004110 PA Practitioner - Pediatric Medicine 4789842725 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD456406PAMDPediatrics Physician
24341WVMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Medical Providers CurrentSince Aug 1, 2021 Accepting new patients
Butler Medical Providers CurrentSince Aug 1, 2021 Accepting new patients
Butler Medical Providers Current Accepting new patients
Roane County Family Health Care, Inc. CurrentSince Aug 31, 2018 Accepting new patients
Smoky Mountain Emergency Services, Inc. Pediatrics Past Accepting new patients
Butler Healthcare Providers Past Accepting new patients
Wheeling Hospital, Inc. Past Accepting new patients
Saint Joseph Health System, Inc Past Accepting new patients

Locations

1 Hospital Way
Butler, PA 16001
Phone (412) 492-0800

127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550

1 Hospital Dr
Clarion, PA 16214
Phone (814) 226-1336

146 Williams Dr
Spencer, WV 25276
Phone (304) 927-1495

Interoperability endpoints

  • Direct secure messaging: atrehun353254@direct.stlukeshealth.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1366639023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL WAY",
            "address_2": "BUTLER HOSPITAL CARE ASSOCIATES",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014670",
            "telephone_number": "724-284-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 GREENBRIER DR",
            "city": "RIPLEY",
            "state": "WV",
            "postal_code": "252711645",
            "telephone_number": "806-335-5040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Park",
            "address_purpose": "LOCATION",
            "city": "Wheeling",
            "state": "WV",
            "postal_code": "260036379",
            "country_code": "US",
            "telephone_number": "304-243-7181",
            "fax_number": "304-243-3078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREHUN",
        "first_name": "ANISH",
        "middle_name": "HARDEEP",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-26",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD456406",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "24341",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810020223",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ripley, WV

Sources for this page

Verify at the official NPI Registry.