Individual provider Active NPI

Ellen L Kitts, MD

  • Physical Medicine & Rehabilitation Physician
  • Wheeling, WV
National Provider Identifier
1750387247
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
13871 Issued in WV
Practice address
1305 National Rd
Wheeling, WV 26003-5705
Phone
(304) 242-1390
Fax
(304) 243-5880
NPI assigned
Jun 21, 2005
Last updated
Aug 14, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Rehabilitation Medicine Physician 2081P0010X 13871 WV
Physical Medicine & Rehabilitation Physician 208100000X 13871 WV Primary
Physical Medicine & Rehabilitation Physician 208100000X 35045295 OH
Pediatric Rehabilitation Medicine Physician 2081P0010X 35045295 OH

Addresses

Primary practice location

1305 National Rd
Wheeling, WV 26003-5705

Mailing address

1305 National Rd
Wheeling, WV 26003-5705
Phone (304) 242-1390

Other identifiers 2

IdentifierTypeStateIssuer
0435318MedicaidOH
0112892000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101206000374 WV Practitioner - Physical Medicine and RehabilitationPractitioner - Pediatric Medicine 5890982763 Reassigns benefits to 1 organization
I20151001002823 OH Practitioner - Physical Medicine and Rehabilitation 5890982763 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35045295OHMDPhysical Medicine & Rehabilitation Physician
13871WVMDPediatric Rehabilitation Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Easter Seal Rehabilitation Center, Inc. Pediatric Rehabilitation Medicine CurrentSince Jan 1, 2001 Accepting new patients
Cambridge Home Health Care, Inc Private PastSince Sep 1, 2015 Accepting new patients

Locations

333 Fox Shannon PL Ste
St Clairsville, OH 43950
Phone (740) 695-5979

500 Market St
Ste 511
Steubenville, OH 43952
Phone (304) 242-1390

4420 Rosemar Ctr
Ste 103
Parkersburg, WV 26104
Phone (304) 422-3343

651 Colliers Way
Ste 301
Weirton, WV 26062
Phone (304) 723-3093

1305 National Rd
Wheeling, WV 26003
Phone (304) 242-1390

Organizations & group practices 2

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": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439510400000",
    "number": "1750387247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 NATIONAL RD",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035705",
            "telephone_number": "304-242-1390",
            "fax_number": "304-243-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 NATIONAL RD",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035705",
            "telephone_number": "304-242-1390",
            "fax_number": "304-243-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTS",
        "first_name": "ELLEN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-21",
        "last_updated": "2015-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "WV",
            "license": "13871",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WV",
            "license": "13871",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "35045295",
            "primary": false
        },
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "OH",
            "license": "35045295",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0435318",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112892000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.