Individual provider Active NPI

Carl High, MD

  • Family Medicine Physician
  • Elkins, WV
National Provider Identifier
1700808177
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13007 Issued in WV
Practice address
909 Gorman Ave
Elkins, WV 26241-4109
Phone
(304) 636-9242
Fax
(304) 636-8152
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 13007 WV Primary

Addresses

Primary practice location

909 Gorman Ave
Elkins, WV 26241-4109

Mailing address

PO Box 390
909 Gorman Ave.
Elkins, WV 26241-0390
Phone (304) 636-9242

Other identifiers 4

IdentifierTypeStateIssuer
001720619OtherWVBCBS
13007OtherWVWV STATE LICENSE
0056511001MedicaidWV
550661804OtherWVTAX ID

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
I20061215000001 WV Practitioner - Family PracticePractitioner - Allergy/Immunology 8325047640 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Elkins, WV

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Belington Community Medical Services Association CurrentSince Jan 1, 2004 Accepting new patients
Belington Community Medical Services Association CurrentSince Jan 1, 2004 Accepting new patients
Belington Community Medical Services Association Family Medicine Current Accepting new patients
200 Whitman Avenue Opco LLC Past Accepting new patients
Elkins Regional Convalescent Center Past Accepting new patients
499 Ferguson Road Opco LLC Past Accepting new patients

Locations

70 N Sturmer St
Belington, WV 26250
Phone (304) 823-2800

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71927

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1700808177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 390",
            "address_2": "909 GORMAN AVE.",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262410390",
            "telephone_number": "304-636-9242",
            "fax_number": "304-636-8152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 GORMAN AVE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262414109",
            "telephone_number": "304-636-9242",
            "fax_number": "304-636-8152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGH",
        "first_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "13007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001720619",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV STATE LICENSE",
            "identifier": "13007",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0056511001",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "550661804",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins, WV

Sources for this page

Verify at the official NPI Registry.