Active NPI
Carl Dean Shrader Jr., M.D., PH.D.
- Family Medicine Physician
- Morgantown, WV
National Provider Identifier
1477870764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25197
- Practice address
- 1 Medical Center Drive
Morgantown, WV 26506 - Phone
- (304) 598-6900
- NPI assigned
- Apr 26, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25197 | WV | Primary |
Addresses
Primary practice location
1 Medical Center Drive
Morgantown, WV 26506
Mailing address
PO Box 780
Morgantown, WV 26507-0780
Phone (304) 285-7101
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cshrader3551@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | cshrader3551@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | cshrader3551@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | cshrader3551@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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130823000741 | WV | Practitioner - Family Practice | 0042453094 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- West Virginia University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- West Virginia University Medical Corporation
Practice addresses (Care Compare)
1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 598-4865
300 S Preston St
Ranson, WV 25438-1631
Phone (304) 598-4000
6040 University Town Centre Dr
Morgantown, WV 26501-2421
Phone (855) 988-2273
Hospital & facility affiliations
- Wvuhs Home Care
- West Virginia Caring
- Morgantown Hospice, an Amedisys Partner
- West Virginia University Hospitals, Inc
- Jefferson Medical Center
- Sundale Nursing Home
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia University Medical Corporation | Family Medicine | Current | Accepting new patients |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| Monongalia Home Corporation | Past | Accepting new patients |
Locations
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
6040 University Town Centre Dr
Morgantown, WV 26501
Interoperability endpoints
- cshrader3551@direct.wvuhsdirect.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Sundale Nursing Home | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Mar 1, 2019 Mar 1, 2019 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Morgantown, WV
- NPI 1790865962
Adp of the SNF, Operational/Managerial Control
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.
-
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
Family Medicine, WV
-
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
-
- Skilled Nursing Facility
- Morgantown, WV
- NPI 1790865962
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Medicare Defined Swing Bed Hospital Unit
- Ranson, WV
- NPI 1104242569
Hospital
-
- General Acute Care Hospital
- Morgantown, WV
- NPI 1841271459
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650240000000",
"number": "1477870764",
"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": "1 MEDICAL CENTER DRIVE",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "26506",
"telephone_number": "304-598-6900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHRADER",
"first_name": "CARL",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-26",
"last_updated": "2022-04-18",
"certification_date": "2022-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "25197",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cshrader3551@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6040 University Town Centre Dr",
"city": "Morgantown",
"state": "WV",
"country_code": "US",
"postal_code": "265012421",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cshrader3551@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6040 University Town Centre Dr",
"city": "Morgantown",
"state": "WV",
"country_code": "US",
"postal_code": "265012421",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cshrader3551@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6040 University Town Centre Dr",
"city": "Morgantown",
"state": "WV",
"country_code": "US",
"postal_code": "265012421",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cshrader3551@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6040 University Town Centre Dr",
"city": "Morgantown",
"state": "WV",
"country_code": "US",
"postal_code": "265012421",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.