Individual provider Active NPI

Richard Conley

  • Foot & Ankle Surgery Podiatrist
  • Blacksburg, VA
National Provider Identifier
1730449497
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103301385 Issued in VA
Practice address
3708 S Main St
Blacksburg, VA 24060-7007
Phone
(540) 552-3668
Fax
(304) 553-7327
NPI assigned
May 29, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 10507 WV
Foot & Ankle Surgery Podiatrist 213ES0103X 0103301385 VA Primary

Addresses

Primary practice location

3708 S Main St
Blacksburg, VA 24060-7007

Mailing address

3708 S Main St
Blacksburg, VA 24060-7007
Phone (540) 552-3668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230621002773 VA Practitioner - Podiatry 4082910534 Reassigns benefits to 1 organization
I20230621002920 WV Practitioner - Podiatry 4082910534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3708 S Main St
Blacksburg, VA 24060-7007
Phone (540) 552-3668

401 Rogers St
Princeton, WV 24740-3636
Phone (304) 487-9442

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue88
Removal of nail tissue1632
Removal or shaving of skin growth140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10507WVMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Clinic of the Virginias Inc Foot & Ankle Surgery CurrentSince Mar 1, 2023 Accepting new patients
Foot and Ankle Clinic of the Virginias Inc Foot & Ankle Surgery CurrentSince Mar 1, 2023 Accepting new patients
Upmc Wellsboro Past Accepting new patients

Locations

3708 S Main St
Blacksburg, VA 24060
Phone (540) 552-3668

3706 S Main St
Blacksburg, VA 24060
Phone (276) 322-1800

5504 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 926-8637

3960 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 523-7000

401 6th Ave
Montgomery, WV 25136
Phone (304) 442-5151

833 Cook Pkwy
Oceana, WV 24870
Phone (304) 682-5080

401 Rogers St
Princeton, WV 24740

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1730449497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 S MAIN ST",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607007",
            "telephone_number": "540-552-3668",
            "fax_number": "304-553-7327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 S MAIN ST",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607007",
            "telephone_number": "540-552-3668",
            "fax_number": "304-553-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLEY",
        "first_name": "RICHARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-29",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WV",
            "license": "10507",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103301385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blacksburg, VA

Sources for this page

Verify at the official NPI Registry.