NPIMap

Individual provider Active NPI

William Clifford Mitchell, MD

  • Family Medicine Physician
  • Morgantown, WV
National Provider Identifier
1568433571
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18297 Issued in WV
Practice address
6000 Memorial Church Drive
Morgantown, WV 26501
Phone
(304) 292-7316
Fax
(304) 599-8917
NPI assigned
Jan 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 18297 WV Primary

Addresses

Primary practice location

6000 Memorial Church Drive
Morgantown, WV 26501

Mailing address

1000 Mon Health Medical Park Dr Ste 1201
Morgantown, WV 26505-1143
Phone (304) 599-9400

Other practice location 1

900 Fairmont Rd
Westover, WV 26501-3847
Phone (304) 292-7316

Other identifiers 1

IdentifierTypeStateIssuer
080164899OtherWVRAILROAD MEDICARE

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
I20031210000996 WV Practitioner - Family Practice 0143126003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monongalia County General Hospital CompanyGroup PAC ID 9638073380, 241 clinicians

Practice addresses (Care Compare)

1300 Fort Pierpont Dr
Suite 101
Morgantown, WV 26508-1381
Phone (304) 241-7150

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Morgantown, WV, CCN 517122
  • Care Partners Home Health Home health agency, Westover, WV, CCN 517100
  • Preston Memorial Homecare Home health agency, Kingwood, WV, CCN 517037
  • Morgantown Hospice, an Amedisys Partner Hospice, Morgantown, WV, CCN 511511
  • Mon Health Medical Center Hospital, Morgantown, WV, CCN 510024
  • West Virginia University Hospitals, Inc Hospital, Morgantown, WV, CCN 510001
  • Mon Health Marion Hospital, Whitehall, WV, CCN 510093

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18297WVMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Wedgewood Family Practice & Psychiatry Associates, Inc Family Medicine Current Accepting new patients
Monongalia County General Hospital Company CurrentSince Mar 1, 2017 Accepting new patients
Broaddus Hospital Association, Inc. Past Accepting new patients
Monongalia County General Hospital Company Past Accepting new patients

Locations

150 Memorial Dr
Kingwood, WV 26537
Phone (304) 329-4701

1300 Fort Pierpont Dr
Ste 101
Morgantown, WV 26508
Phone (304) 241-7150

1000 Mon Health Medical Park Dr
Ste 1201
Morgantown, WV 26505
Phone (304) 599-9400

1197 Van Voorhis Rd
Morgantown, WV 26505
Phone (304) 598-2233

6000 Memorial Church Dr
Westover, WV 26501
Phone (304) 292-7316

900 Fairmont Rd
Westover, WV 26501
Phone (304) 292-7316

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1568433571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MON HEALTH MEDICAL PARK DR STE 1201",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051143",
            "telephone_number": "304-599-9400",
            "fax_number": "304-599-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 MEMORIAL CHURCH DRIVE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "26501",
            "telephone_number": "304-292-7316",
            "fax_number": "304-599-8917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Fairmont Rd",
            "address_purpose": "LOCATION",
            "city": "Westover",
            "state": "WV",
            "postal_code": "265013847",
            "country_code": "US",
            "telephone_number": "304-292-7316",
            "fax_number": "304-296-4408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "WILLIAM",
        "middle_name": "CLIFFORD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-28",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "18297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080164899",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.