Active NPI
Revital Metro
- Physician Assistant
- Morgantown, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1075 Van Voorhis Rd Ste 150
Morgantown, WV 26505 - Phone
- (304) 598-6216
- NPI assigned
- Dec 29, 2016
- Last updated
- Sep 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X |
Addresses
Primary practice location
1075 Van Voorhis Rd Ste 150
Morgantown, WV 26505
Mailing address
PO Box 780
Morgantown, WV 26507-0780
Phone (304) 285-7101
Other practice location 1
1203 Pittsburgh Road
Suite 101
Uniontown, PA 15401
Phone (724) 912-6800 ext. 27045
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- West Virginia University School of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 598-4865
1075 Van Voorhis Rd
FL 2
Morgantown, WV 26505-3586
Phone (304) 598-6216
1075 Van Voorhis Rd
Suite 150
Morgantown, WV 26505-3588
Phone (304) 598-6216
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| Wvu Med Corp Cheat Lake Physicians | Current | Accepting new patients |
Locations
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
1075 Van Voorhis Rd
Ste 150
Morgantown, WV 26505
Phone (304) 598-0122
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba University Health Associates
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
-
dba Crisis Support and Recovery Center
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
-
- Clinical Medical Laboratory
- Morgantown, WV
- NPI 1568661148
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Morgantown, WV
- NPI 1841271459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1427593425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 780",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265070780",
"telephone_number": "304-285-7101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1075 VAN VOORHIS RD STE 150",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "26505",
"telephone_number": "304-598-6216"
}
],
"practiceLocations": [
{
"address_1": "1203 Pittsburgh Road",
"address_2": "Suite 101",
"address_purpose": "LOCATION",
"city": "Uniontown",
"state": "PA",
"postal_code": "15401",
"country_code": "US",
"telephone_number": "724-912-6800 x27045",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "METRO",
"first_name": "REVITAL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-29",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.