Individual provider Active NPI

Denzil W Hawkinberry II, MD

  • Addiction Medicine (Anesthesiology) Physician
  • Buckhannon, WV
National Provider Identifier
1376644401
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Anesthesiology) PhysicianTaxonomy code 207LA0401X
License
20823 Issued in WV
Practice address
34 N Kanawha St
Buckhannon, WV 26201-2714
Phone
(304) 473-2250
Fax
(304) 924-5460
NPI assigned
Sep 25, 2006
Last updated
Sep 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 20823 WV
Addiction Medicine (Anesthesiology) Physician 207LA0401X 20823 WV Primary

Addresses

Primary practice location

34 N Kanawha St
Buckhannon, WV 26201-2714

Mailing address

34 N Kanawha St
Buckhannon, WV 26201-2714
Phone (304) 473-2250

Other practice location 1

924 Liberty Street
West Milford, WV 26451
Phone (304) 745-4568

Other identifiers 17

IdentifierTypeStateIssuer
20554238700OtherWVWORKERS COMP
3810006746MedicaidWV
DF0767OtherWVRR MEDICARE
2528367OtherWVOHIO MEDICAID
270052997004OtherWVTRICARE MAAC
P00407274OtherWVRR MEDICARE
001706469OtherWVBLUE CROSS
3810001133MedicaidWV
001808009OtherWVMSBCBS
001907643OtherWVMSBCBS GROUP
2332177174-00OtherWVOHIO WORKERS COMP
27005997004OtherWVTRICARE
1068812OtherWVBRICKSTREET
205542387OtherWVTRICARE
205542387001OtherWVTRICARE
P00382001OtherWVRR MEDICARE
0207026000MedicaidWV

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
I20221219000160 WV Practitioner - Addiction Medicine 0345205340 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
West Virginia University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care of West Virginia, Inc.Group PAC ID 0446232987, shared by 74 NPIs, 89 clinicians

Practice addresses (Care Compare)

100 Market PL
Bridgeport, WV 26330-9168
Phone (304) 848-5770

107 Staunton Dr
Weston, WV 26452-5604
Phone (304) 269-2022

133 Staunton Dr
Weston, WV 26452-5604
Phone (304) 269-9510

149 Staunton Dr
Weston, WV 26452-5604
Phone (304) 269-2022

208 Kidd Ave
Stonewood, WV 26301-4833
Phone (304) 326-7050

235 Skidmore LN
Sutton, WV 26601-9272
Phone (304) 765-4400

249 Skidmore LN
Sutton, WV 26601-9272

266 Skidmore LN
Sutton, WV 26601-9271
Phone (304) 765-0351

273 Skidmore LN
Sutton, WV 26601-9272
Phone (304) 765-4400

33 37 W Main St
Buckhannon, WV 26201-2235
Phone (304) 473-5600

34 N Kanawha St
Buckhannon, WV 26201-2714
Phone (304) 473-2250

4 Northridge Dr
Suite 118
Buckhannon, WV 26201-8484
Phone (304) 473-5661

65 Professional PL
Suite 101
Bridgeport, WV 26330-1889
Phone (304) 848-5770

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Jan 9, 2025 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Feb 7, 2023 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Jan 27, 2023 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Oct 1, 2022 Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Oct 1, 2022 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Oct 1, 2022 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia Inc Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Jan 27, 2023 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Mid-Atlantic Anesthesia Consultants, LLC Anesthesiology Past Accepting new patients
Association of Anesthesia Providers, LLC Anesthesiology Past Accepting new patients
Convenience Clinics of America, Inc PastSince Aug 1, 2008 Accepting new patients
Greenbrier Emergency Services, Inc. Past Accepting new patients

Locations

65 Professional Pl
Ste 101
Bridgeport, WV 26330
Phone (304) 842-6463

34 N Kanawha St
Buckhannon, WV 26201
Phone (304) 473-2250

37 W Main St
Buckhannon, WV 26201
Phone (304) 472-1712

4 Northridge Dr
Ste 118
Buckhannon, WV 26201
Phone (304) 473-1440

77 W Main St
Buckhannon, WV 26201
Phone (304) 473-1440

59 Ossia Rd
Duck, WV 25063
Phone (304) 286-2838

4498 Potomac Highlands Trl
Green Bank, WV 24944
Phone (304) 456-5115

797 Clinic Dr
Ivydale, WV 25113
Phone (304) 286-4200

821 3rd Ave
Marlinton, WV 24954
Phone (304) 799-4404

78 Queens Alley Rd
Rock Cave, WV 26234

235 Skidmore Ln
Sutton, WV 26601
Phone (304) 765-4400

266 Skidmore Ln
Sutton, WV 26601
Phone (304) 765-0351

107 Staunton Dr
Weston, WV 26452
Phone (304) 269-2022

133 Staunton Dr
Weston, WV 26452
Phone (304) 269-9510

149 Staunton Dr
Weston, WV 26452
Phone (304) 269-2022

Interoperability endpoints

  • Direct secure messaging: denzil.hawkinberry.1@4803.direct.athenahealth.com

Organizations & group practices 49

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.

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1376644401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 N KANAWHA ST",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262012714",
            "telephone_number": "304-473-2250",
            "fax_number": "304-924-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 N KANAWHA ST",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262012714",
            "telephone_number": "304-473-2250",
            "fax_number": "304-924-5460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "924 Liberty Street",
            "address_purpose": "LOCATION",
            "city": "West Milford",
            "state": "WV",
            "postal_code": "26451",
            "country_code": "US",
            "telephone_number": "304-745-4568",
            "fax_number": "304-326-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWKINBERRY",
        "first_name": "DENZIL",
        "middle_name": "W",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WV",
            "license": "20823",
            "primary": false
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "WV",
            "license": "20823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "20554238700",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810006746",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DF0767",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO MEDICAID",
            "identifier": "2528367",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE MAAC",
            "identifier": "270052997004",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00407274",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "001706469",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810001133",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MSBCBS",
            "identifier": "001808009",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MSBCBS GROUP",
            "identifier": "001907643",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO WORKERS COMP",
            "identifier": "2332177174-00",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "27005997004",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRICKSTREET",
            "identifier": "1068812",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "205542387",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "205542387001",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00382001",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0207026000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckhannon, WV

Sources for this page

Verify at the official NPI Registry.