NPIMap

Individual provider Active NPI

Kenneth Adkins, DO

  • Family Medicine Physician
  • South Charleston, WV
National Provider Identifier
1629176540
Registry record updated Dec 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2063 Issued in WV
Practice address
1563 Sand Plant Rd
South Charleston, WV 25309-6120
Phone
(304) 756-1500
Fax
(304) 756-1549
NPI assigned
Sep 21, 2006
Last updated
Dec 30, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2063 WV
Family Medicine Physician 207Q00000X 2063 WV Primary

Addresses

Primary practice location

1563 Sand Plant Rd
South Charleston, WV 25309-6120

Mailing address

4700 Lynn Ave
Hamlin, WV 25523-1138
Phone (304) 824-5806

Other identifiers 3

IdentifierTypeStateIssuer
001886032OtherWVHIGHMARK BCBS
2063OtherWVLICENSE
3810006146MedicaidWV

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
I20061018000698 WV Practitioner - Osteopathic Manipulative Medicine 8921004706 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
West Virginia School of Osteopathic Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boone Memorial Hospital IncGroup PAC ID 3375433352, shared by 8 NPIs, 78 clinicians

Practice addresses (Care Compare)

697 Madison Ave
Suite 101
Madison, WV 25130
Phone (304) 369-1230

701 Madison Ave
Madison, WV 25130-1669
Phone (304) 369-1230

701 Madison Ave
Madison, WV 25130-1699

716 Madison Ave
Madison, WV 25130-1624
Phone (304) 369-1230

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Boone Memorial Hospital, Inc Current Accepting new patients
Boone Memorial Hospital, Inc Family Medicine CurrentSince Feb 25, 2017 Accepting new patients
Boone Memorial Hospital, Inc CurrentSince Jan 27, 2026 Accepting new patients
Boone Memorial Hospital, Inc CurrentSince Feb 25, 2017 Accepting new patients
Boone Memorial Hospital, Inc Family Medicine Current Accepting new patients
Boone Memorial Hospital, Inc Past Accepting new patients
Boone Memorial Hospital, Inc Past Accepting new patients
New Century Emergency Physician of West Virginia Inc Emergency Medicine Past Accepting new patients
Boone Memorial Hospital, Inc Past Accepting new patients

Locations

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

300 4th St
Danville, WV 25053
Phone (304) 307-6201

467 Main St
Ste 3
Madison, WV 25130
Phone (304) 369-1230

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

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

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

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/boonemh-81155461

Organizations & group practices 9

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.

Hospital & facility affiliations 9

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1629176540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 LYNN AVE",
            "city": "HAMLIN",
            "state": "WV",
            "postal_code": "255231138",
            "telephone_number": "304-824-5806",
            "fax_number": "304-824-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1563 SAND PLANT RD",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253096120",
            "telephone_number": "304-756-1500",
            "fax_number": "304-756-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADKINS",
        "first_name": "KENNETH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "2063",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "2063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS",
            "identifier": "001886032",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2063",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810006146",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Charleston, WV

Sources for this page

Verify at the official NPI Registry.