NPIMap

Individual provider Active NPI

Thomas Brian Cortellesi, DO

  • Gastroenterology Physician
  • Richlands, VA
National Provider Identifier
1588646459
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0102037199 Issued in VA
Practice address
One Clinic Drive
Claypool Hill
Richlands, VA 24641-1100
Phone
(276) 964-6771
Fax
(276) 964-1253
NPI assigned
Nov 16, 2005
Last updated
Jul 11, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0102037199 VA
Gastroenterology Physician 207RG0100X 0102037199 VA Primary

Addresses

Primary practice location

One Clinic Drive
Claypool Hill
Richlands, VA 24641-1100

Mailing address

PO Box Cvpi
Richlands, VA 24641
Phone (276) 964-6771

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
I20080213000735 WV Practitioner - Emergency MedicinePractitioner - Gastroenterology 0749228195 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102037199VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boone Memorial Hospital, Inc CurrentSince Jan 11, 2014 Accepting new patients
Point Pleasant Physician Billing Services CurrentSince May 2, 2018 Accepting new patients
Boone Memorial Hospital, Inc CurrentSince Jan 11, 2014 Accepting new patients
Boone Memorial Hospital, Inc Current Accepting new patients
Webster County Memorial Hospital CurrentSince Jul 1, 2017 Accepting new patients
Boone Memorial Hospital, Inc Internal Medicine Current Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Bluefield Emergency Physicians Inc Past Accepting new patients
Community Health Association Past Accepting new patients
Emergency Coverage, LLC Internal Medicine Past Accepting new patients
Mountaineer Gastroenterology Inc Gastroenterology PastSince Nov 1, 2007 Accepting new patients
Family Care Center PastSince Jun 17, 2014 Accepting new patients
Community Health Association Past Accepting new patients
Pleasant Valley Orthopedics Past Accepting new patients
Russell County Medical Center Inc Past Accepting new patients
Clinch Valley Physicians Inc Past Accepting new patients

Locations

6952 Coal River Rd
#C
Comfort, WV 25049
Phone (304) 307-3116

660 S Main St
#A
Madison, WV 25130
Phone (304) 369-1230

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

2520 Valley Dr
Ste 113
Pt Pleasant, WV 25550
Phone (304) 675-1020

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1588646459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX CVPI",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "24641",
            "telephone_number": "276-964-6771",
            "fax_number": "276-964-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE CLINIC DRIVE",
            "address_2": "CLAYPOOL HILL",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "246411100",
            "telephone_number": "276-964-6771",
            "fax_number": "276-964-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTELLESI",
        "first_name": "THOMAS",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0102037199",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0102037199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richlands, VA

Sources for this page

Verify at the official NPI Registry.