Andres Laurente Rago, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

11441 Issued in WV

Practice address

135 Main Street
Keystone, WV 24868

Phone

(304) 862-4611

NPI assigned

Jun 11, 2006

Last updated

Feb 22, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Andres L. Rago MD PC

  • Family Medicine Physician
  • Keystone, WV
  • NPI 1114096161
  NPD Authorized official
• Southern Highlands Community Mental Health Center, Inc.

  dba Southern Highlands Community Mental Health Center

  • Community/Behavioral Health Agency
  • Princeton, WV
  • NPI 1740234673
  NPD (past)

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203638400000",
    "number": "1508808007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 52 BOX 135",
            "city": "KEYSTONE",
            "state": "WV",
            "postal_code": "248687501",
            "telephone_number": "304-862-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 MAIN STREET",
            "city": "KEYSTONE",
            "state": "WV",
            "postal_code": "24868",
            "telephone_number": "304-862-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGO",
        "first_name": "ANDRES",
        "middle_name": "LAURENTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2008-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "11441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0042438000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andres L. Rago MD PC
• Council of the Southern Mountains
• Council of the Southern Mountains, WV Branch, McDowell Co Chapter, Inc
• Sharon Dotson

• Family Medicine Physician in Keystone, WV
• Providers in Keystone, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.