Individual provider Active NPI

Angel L Rosas-Acevedo, M.D.

  • Diagnostic Radiology Physician
  • Beckley, WV
National Provider Identifier
1578626529
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
16668 Issued in WV
Practice address
200 Carriage Dr
Beckley, WV 25801-2876
Phone
(304) 252-0690
Fax
(304) 252-0646
NPI assigned
Dec 19, 2006
Last updated
Jan 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 16668 WV
Diagnostic Ultrasound Physician 2085U0001X 16668 WV
Diagnostic Radiology Physician 2085R0202X 16668 WV Primary

Addresses

Primary practice location

200 Carriage Dr
Beckley, WV 25801-2876

Mailing address

252 Rural Acres Dr
Beckley, WV 25801-3503
Phone (304) 253-2628

Other identifiers 5

IdentifierTypeStateIssuer
2107367OtherWVUNITED HEALTH CARE
0092037000MedicaidWV
70987MedicaidWV
1718524OtherWVBLUE CROSS BLUE SHIELD
55855MedicaidWV

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
I20040318000171 WV Practitioner - Diagnostic RadiologyPractitioner - Obstetrics/Gynecology 9234029703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.54 of 100Reported as group
Quality
92.57
Promoting interoperability
100
Improvement activities
40
Cost
69.24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16668WVMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Systems Inc. Diagnostic Radiology CurrentSince Aug 1, 2003 Accepting new patients
Community Health Systems Inc CurrentSince Aug 1, 2003 Accepting new patients
Community Health Systems, Inc. Diagnostic Radiology Current Accepting new patients

Locations

200 Carriage Dr
Beckley, WV 25801
Phone (304) 252-0600

201 Woodcrest Dr
Beckley, WV 25801
Phone (304) 250-0272

252 Rural Acres Dr
Beckley, WV 25801
Phone (304) 252-8551

302 Carriage Dr
Beckley, WV 25801
Phone (304) 250-0333

390 Stanaford Rd
Beckley, WV 25801
Phone (304) 461-3320

410 Carriage Dr
Beckley, WV 25801
Phone (304) 250-0333

2157 Ritter Dr
Daniels, WV 25832
Phone (304) 461-0300

Interoperability endpoints

  • Direct secure messaging: angel.rosas.1@14333.direct.athenahealth.com
  • Direct secure messaging: angel.rosas@wvafn.hcadirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1578626529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 RURAL ACRES DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013503",
            "telephone_number": "304-253-2628",
            "fax_number": "304-252-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CARRIAGE DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012876",
            "telephone_number": "304-252-0690",
            "fax_number": "304-252-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSAS-ACEVEDO",
        "first_name": "ANGEL",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2025-01-09",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WV",
            "license": "16668",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "WV",
            "license": "16668",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WV",
            "license": "16668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2107367",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0092037000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70987",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1718524",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55855",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.