Active NPI
Richard Wade King, M.D.
- Obstetrics & Gynecology Physician
- Bridgeport, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- WV17472B
- Practice address
- 527 Medical Park Dr
Suite 205
Bridgeport, WV 26330-9008 - Phone
- (304) 842-0804
- Fax
- (304) 842-0806
- NPI assigned
- Dec 28, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | WV17472B | WV | Primary |
Addresses
Primary practice location
527 Medical Park Dr
Suite 205
Bridgeport, WV 26330-9008
Mailing address
527 Medical Park Dr
Suite 205
Bridgeport, WV 26330-9008
Phone (304) 842-0804
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0092785001 | Medicaid | WV |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rking47779@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | rking47779@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | rking47779@direct.wvuhsdirect.com | Health Information Exchange (HIE) |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
527 Medical Park Dr
Bridgeport, WV 26330-9009
Phone (304) 848-2150
Hospital & facility affiliations
- United Hospital Center, Inc
- West Virginia University Hospitals, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WV17472B | WV | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia University Medical Corporation | Obstetrics & Gynecology | Current | Accepting new patients |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| Wvu Medical Corporation | Current | Accepting new patients | |
| United Hospital Center, Inc | Past | Accepting new patients | |
| United Hospital Center, Inc. | Past | Accepting new patients |
Locations
527 Medical Park Dr
Ste 108
Bridgeport, WV 26330
Phone (304) 848-2150
902 Lodgeville Rd
Bridgeport, WV 26330
Phone (304) 842-0801
300 Davisson Run Rd
#103
Clarksburg, WV 26301
Phone (304) 622-0267
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
6040 University Town Centre Dr
Morgantown, WV 26501
200 Route 98 W St
Ste 107
Nutter Fort, WV 26301
Phone (304) 623-5711
Interoperability endpoints
- rking47779@direct.wvuhsdirect.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
Obstetrics & Gynecology
-
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
-
- Neurological Surgery Physician
- Bridgeport, WV
- NPI 1245625581
-
- General Acute Care Hospital
- Bridgeport, WV
- NPI 1184606600
-
- Internal Medicine Physician
- Bridgeport, WV
- NPI 1760965586
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bridgeport, WV
- NPI 1184606600
-
- 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": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649721600000",
"number": "1437136702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 MEDICAL PARK DR",
"address_2": "SUITE 205",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263309008",
"telephone_number": "304-842-0804",
"fax_number": "304-842-0806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 MEDICAL PARK DR",
"address_2": "SUITE 205",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263309008",
"telephone_number": "304-842-0804",
"fax_number": "304-842-0806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "RICHARD",
"middle_name": "WADE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-28",
"last_updated": "2022-04-12",
"certification_date": "2022-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WV",
"license": "WV17472B",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0092785001",
"state": "WV"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rking47779@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1 Medical Center Dr",
"city": "Morgantown",
"state": "WV",
"country_code": "US",
"postal_code": "265061200",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rking47779@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1 Medical Center Dr",
"city": "Morgantown",
"state": "WV",
"country_code": "US",
"postal_code": "265061200",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rking47779@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1 Medical Center Dr",
"city": "Morgantown",
"state": "WV",
"country_code": "US",
"postal_code": "265061200",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bridgeport, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.