Active NPI
Philip B Lepanto, MD
- Radiation Oncology Physician
- Huntington, WV
National Provider Identifier
1376520197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 11879
- Practice address
- 5221 US Route 60 E
Radiology Inc
Huntington, WV 25705-2022 - Phone
- (304) 522-1550
- Fax
- (304) 522-0704
- NPI assigned
- Dec 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 11879 | WV | Primary |
| Radiation Oncology Physician | 2085R0001X | 15899 | KY |
Addresses
Primary practice location
5221 US Route 60 E
Radiology Inc
Huntington, WV 25705-2022
Mailing address
PO Box 910
Radiology Inc
Huntington, WV 25712-0910
Phone (304) 522-1550
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000206696 | Other | OH | UNISON |
| 001718769 | Other | MTN STATE BCBS | |
| 0123029000 | Medicaid | WV | |
| 4349813 | Other | AETNA | |
| 50007238 | Other | KY | PASSPORT |
| 0546618 | Medicaid | OH | |
| 300021814 | Other | WV | RAILROAD MEDICARE |
| 55049337600 | Other | WV | WORKMANS COMP |
| 64158991 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15899 | KY | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Inc | Radiation Oncology | Past | Accepting new patients |
| Premier Radiation Oncology, Inc. | Radiation Oncology | Past | Accepting new patients |
| Progressive Radiation Oncology | Radiation Oncology | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Radiation Oncology Physician
- Huntington, WV
- NPI 1174858039
-
- Radiation Oncology Physician
- Somerville, NJ
- NPI 1568630903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262908800000",
"number": "1376520197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 910",
"address_2": "RADIOLOGY INC",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257120910",
"telephone_number": "304-522-1550",
"fax_number": "304-522-1073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5221 US ROUTE 60 E",
"address_2": "RADIOLOGY INC",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257052022",
"telephone_number": "304-522-1550",
"fax_number": "304-522-0704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEPANTO",
"first_name": "PHILIP",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2010-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "WV",
"license": "11879",
"primary": true
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "KY",
"license": "15899",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON",
"identifier": "000000206696",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MTN STATE BCBS",
"identifier": "001718769",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0123029000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4349813",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "50007238",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0546618",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300021814",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKMANS COMP",
"identifier": "55049337600",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64158991",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.