Active NPI
Mary E McKelvey, MD
- Internal Medicine Physician
- Beaver, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 15767
- Practice address
- 1196 Airport Rd
Beaver, WV 25813-9421 - Phone
- (304) 253-5155
- Fax
- (304) 252-3471
- NPI assigned
- Sep 6, 2005
- Last updated
- Oct 11, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 15767 | WV | Primary |
Addresses
Primary practice location
1196 Airport Rd
Beaver, WV 25813-9421
Mailing address
200 Pocahontas TRL
P.O Box 457
White Sulphur Springs, WV 24986-5026
Phone (304) 536-5030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0072468000 | Medicaid | WV |
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
- Internal Medicine
- Education
- Perelman School of Med at the University of Pennsylvania, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
106 Lockheed Dr
Beaver, WV 25813-8962
Phone (304) 253-5155
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15767 | WV | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Rooted Behavioral Health LLC | Current | Accepting new patients | |
| Brian S. Love MD, Inc | Past | Accepting new patients | |
| New River Health Association, Inc. | Past | Accepting new patients |
Locations
106 Lockheed Dr
Beaver, WV 25813
Phone (304) 253-5155
Interoperability endpoints
- https://api.platform.athenahealth.com/6958/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Nurse Practitioner
- Beaver, WV
- NPI 1114342243
-
dba Mountain Rooted Behavioral Health
- Psychiatry Physician
- Beaver, WV
- NPI 1073364469
-
- Family Medicine Physician
- Beckley, WV
- NPI 1376796961
-
dba New River Health Pulmonary Rehabilitation Center
- Rehabilitation Clinic/Center
- Oak Hill, WV
- NPI 1841619467
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Raleigh General Hospital
- General Acute Care Hospital
- Beckley, WV
- NPI 1629015698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476144000000",
"number": "1467446526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 POCAHONTAS TRL",
"address_2": "P.O BOX 457",
"city": "WHITE SULPHUR SPRINGS",
"state": "WV",
"postal_code": "249865026",
"telephone_number": "304-536-5030",
"fax_number": "304-536-5031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1196 AIRPORT RD",
"city": "BEAVER",
"state": "WV",
"postal_code": "258139421",
"telephone_number": "304-253-5155",
"fax_number": "304-252-3471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKELVEY",
"first_name": "MARY",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-06",
"last_updated": "2016-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WV",
"license": "15767",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0072468000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beaver, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.