Individual provider Active NPI

Troy Donald Sommerville, MD

  • Internal Medicine Physician
  • Prestonsburg, KY
National Provider Identifier
1689609000
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
16539 Issued in WV
Practice address
5230 Ky Route 321 Ste 8
VA Outpatient Clinic
Prestonsburg, KY 41653-9169
Phone
(606) 886-1970
Fax
(606) 886-3668
NPI assigned
Jul 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 16539 WV Primary

Addresses

Primary practice location

5230 Ky Route 321 Ste 8
VA Outpatient Clinic
Prestonsburg, KY 41653-9169

Mailing address

5230 Ky Route 321 Ste 8
VA Outpatient Clinic
Prestonsburg, KY 41653-9169
Phone (606) 886-1970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16539WVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Health Care Providers Past Accepting new patients
St. Mary's Himg, LLC Internal Medicine Past Accepting new patients
Ultimate Health Services Inc Internal Medicine Past Accepting new patients

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689609000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 KY ROUTE 321 STE 8",
            "address_2": "VA OUTPATIENT CLINIC",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416539169",
            "telephone_number": "606-886-1970",
            "fax_number": "606-886-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 KY ROUTE 321 STE 8",
            "address_2": "VA OUTPATIENT CLINIC",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416539169",
            "telephone_number": "606-886-1970",
            "fax_number": "606-886-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMMERVILLE",
        "first_name": "TROY",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "16539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prestonsburg, KY

Sources for this page

Verify at the official NPI Registry.