Individual provider Active NPI

Martin L Chadwell, DO

  • Emergency Medicine Physician
  • Charleston, WV
National Provider Identifier
1508253147
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
3190 Issued in WV
Practice address
3200 Maccorkle Ave SE
Camc Family Medicine Center
Charleston, WV 25304
Phone
(304) 768-3941
Fax
(304) 766-4391
NPI assigned
Apr 21, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X WV
Emergency Medicine Physician 207P00000X 3190 WV Primary

Addresses

Primary practice location

3200 Maccorkle Ave SE
Camc Family Medicine Center
Charleston, WV 25304

Mailing address

3200 Maccorkle Ave SE
Camc Family Medicine Center
Charleston, WV 25304-1227
Phone (304) 768-3941

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181212001234 WV Practitioner - Emergency MedicinePractitioner - Family Practice 2769798008 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
West Virginia School of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
THS Physician Partners IncGroup PAC ID 9537316393, 366 clinicians

Practice addresses (Care Compare)

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 414-4800

Hospital & facility affiliations

  • Thomas Memorial Hospital Hospital, South Charleston, WV, CCN 510029
  • Boone Memorial Hospital Hospital, Madison, WV, CCN 511313

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3190WVMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Alliance, Inc. Emergency Medicine CurrentSince Sep 23, 2018 Accepting new patients
Community Health Association CurrentSince Sep 1, 2024 Accepting new patients
THS Physician Partners Inc CurrentSince Jun 7, 2023 Accepting new patients
Braxton County Memorial Hospital CurrentSince Sep 1, 2024 Accepting new patients
Princeton Community Hospital Assn., Inc CurrentSince Jun 26, 2024 Accepting new patients
Braxton County Memorial Hospital CurrentSince Sep 1, 2024 Accepting new patients
Princeton Community Hospital Assn Inc. CurrentSince Jun 26, 2024 Accepting new patients
Boone Memorial Hospital, Inc Current Accepting new patients
Community Health Association CurrentSince Sep 1, 2024 Accepting new patients
Boone Memorial Hospital, Inc CurrentSince Oct 15, 2019 Accepting new patients
West Virginia Health Care Cooperative Inc Current Accepting new patients
Camden-Clark Physician Corporation CurrentSince Sep 1, 2024 Accepting new patients
Greenbrier Emergency Services, Inc. Emergency Medicine CurrentSince Apr 1, 2024 Accepting new patients
Boone Memorial Hospital, Inc Current Accepting new patients
Boone Memorial Hospital, Inc CurrentSince Oct 15, 2019 Accepting new patients
West Virginia Health Care Cooperative Inc CurrentSince Sep 2, 2024 Accepting new patients
Community Health Association Past Accepting new patients

Locations

L3539
Columbus, OH 43260
Phone (304) 414-4800

401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325

1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641

3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550

333 Laidley St
Charleston, WV 25301
Phone (304) 347-6116

100 Hoylman Dr
Gassaway, WV 26624
Phone (304) 364-1046

20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101

701 Madison Ave
Madison, WV 25130
Phone (304) 369-1230

800 Ann St
Parkersburg, WV 26101
Phone (304) 865-5530

800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405

122 12th St
Princeton, WV 24740
Phone (304) 487-7061

122 Pinnell St
Ripley, WV 25271
Phone (304) 373-1544

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

400 Fairview Heights Rd
Summersville, WV 26651
Phone (304) 872-2891

601 Colliers Way
Weirton, WV 26062
Phone (304) 364-5156

Interoperability endpoints

  • Direct secure messaging: mchadwell408442@direct.wvuhsdirect.com

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1508253147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 MACCORKLE AVE SE",
            "address_2": "CAMC FAMILY MEDICINE CENTER",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041227",
            "telephone_number": "304-768-3941",
            "fax_number": "304-766-4391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 MACCORKLE AVE SE",
            "address_2": "CAMC FAMILY MEDICINE CENTER",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "25304",
            "telephone_number": "304-768-3941",
            "fax_number": "304-766-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADWELL",
        "first_name": "MARTIN",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-21",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WV",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "3190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.