NPIMap

Individual provider Active NPI

Ashish Sheth, MD

  • Internal Medicine Physician
  • Cross Lanes, WV
National Provider Identifier
1487645073
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19078 Issued in WV
Practice address
924 Cross Lanes Dr
Cross Lanes Internal Medicine Group Inc
Cross Lanes, WV 25313-1315
Phone
(304) 776-9872
Fax
(304) 204-2385
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19078 WV Primary

Addresses

Primary practice location

924 Cross Lanes Dr
Cross Lanes Internal Medicine Group Inc
Cross Lanes, WV 25313-1315

Mailing address

924 Cross Lanes Dr
WV Primary Care
Cross Lanes, WV 25313-1315
Phone (304) 776-9872

Other identifiers 1

IdentifierTypeStateIssuer
0080729000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100914000022 WV Practitioner - Internal Medicine 3870675457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
WV Primary Care IncGroup PAC ID 2860517976, 3 clinicians

Practice addresses (Care Compare)

924 Cross Lanes Dr
Cross Lanes, WV 25313-1315
Phone (304) 776-9872

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19078WVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WV Primary Care Inc Internal Medicine CurrentSince Aug 23, 2010 Accepting new patients
Patel Inc. Past Accepting new patients

Locations

924 Cross Lanes Dr
Cross Lanes, WV 25313
Phone (304) 776-1046

Organizations & group practices 2

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1487645073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 CROSS LANES DR",
            "address_2": "WV PRIMARY CARE",
            "city": "CROSS LANES",
            "state": "WV",
            "postal_code": "253131315",
            "telephone_number": "304-776-9872",
            "fax_number": "304-204-2385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 CROSS LANES DR",
            "address_2": "CROSS LANES INTERNAL MEDICINE GROUP INC",
            "city": "CROSS LANES",
            "state": "WV",
            "postal_code": "253131315",
            "telephone_number": "304-776-9872",
            "fax_number": "304-204-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETH",
        "first_name": "ASHISH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "19078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0080729000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cross Lanes, WV

Sources for this page

Verify at the official NPI Registry.