Individual provider Active NPI

Robert A Shirey, MD

  • Internal Medicine Physician
  • Ronceverte, WV
National Provider Identifier
1720073828
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12863 Issued in WV
Practice address
318 Red Oaks Shopping Ctr
Ronceverte, WV 24970-1364
Phone
(304) 645-1117
Fax
(304) 645-1148
NPI assigned
Sep 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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 12863 WV Primary

Addresses

Primary practice location

318 Red Oaks Shopping Ctr
Ronceverte, WV 24970-1364

Mailing address

318 Red Oaks Shopping Ctr
Ronceverte, WV 24970-1348
Phone (304) 645-1117

Other identifiers 1

IdentifierTypeStateIssuer
0084194000MedicaidWV

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL RONCEVERTE

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
I20110223000331 WV Practitioner - Internal Medicine 5294916318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
West Virginia University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
H2 Rehabilitation Services of Virginia, LLCGroup PAC ID 1658280128, shared by 6 NPIs, 67 clinicians

Practice addresses (Care Compare)

318 Oaks Shopping Ctr
Ronceverte, WV 24970-1348
Phone (304) 645-1117

320 W Main St
Covington, VA 24426-1517
Phone (540) 962-6226

Hospital & facility affiliations

  • Home Care Plus, Incorporated Home health agency, Lewisburg, WV, CCN 517051
  • Adoration Home Health Home health agency, Charleston, WV, CCN 517115
  • Camc Greenbrier Valley Medical Center, Inc Hospital, Ronceverte, WV, CCN 510002
  • Lewisgale Hospital Alleghany Hospital, Low Moor, VA, CCN 490126

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12863WVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shirey & Shirey M C Internal Medicine CurrentSince Oct 1, 1987 Accepting new patients

Locations

17 Red Oaks Shopping Ctr
Ronceverte, WV 24970
Phone (304) 645-1117

318 Red Oaks Shopping Ctr
Ronceverte, WV 24970
Phone (304) 645-1117

Organizations & group practices 1

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.

Hospital & facility affiliations 5

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": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1720073828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 RED OAKS SHOPPING CTR",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249701348",
            "telephone_number": "304-645-1117",
            "fax_number": "304-645-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 RED OAKS SHOPPING CTR",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249701364",
            "telephone_number": "304-645-1117",
            "fax_number": "304-645-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIREY",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "12863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0084194000",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "RONCEVERTE",
            "affiliation": "N",
            "address_1": "318 Red Oaks Shopping Ctr",
            "city": "Ronceverte",
            "state": "WV",
            "country_code": "US",
            "postal_code": "249701364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ronceverte, WV

Sources for this page

Verify at the official NPI Registry.