Individual provider Active NPI

Adam Michael Hackney, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Morgantown, WV
National Provider Identifier
1790028736
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1 Medical Center Dr.
Room 1144
Morgantown, WV 26506-6201
Phone
(304) 293-2463
Fax
(304) 293-5160
NPI assigned
Mar 28, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X WV Primary

Addresses

Primary practice location

1 Medical Center Dr.
Room 1144
Morgantown, WV 26506-6201

Mailing address

903 S Ruffner Rd
Charleston, WV 25314-1646
Phone (304) 389-9096

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
I20181106002935 WV Practitioner - Diagnostic Radiology 0042511040 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
JC Edwards School of Medicine, Marshall University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiological Physician Associates IncGroup PAC ID 7719955368, 31 clinicians

Practice addresses (Care Compare)

327 Medical Park Dr
Bridgeport, WV 26330-9006
Phone (681) 342-1000

Hospital & facility affiliations

  • United Hospital Center, Inc Hospital, Bridgeport, WV, CCN 510006
  • Summersville Regional Medical Center Hospital, Summersville, WV, CCN 511322
  • Mon Health Medical Center Hospital, Morgantown, WV, CCN 510024
  • St Joseph'S Hospital of Buckhannon, Inc Hospital, Buckhannon, WV, CCN 511321
  • Braxton County Memorial Hospital, Inc Hospital, Gassaway, WV, CCN 511308

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Imaging and Intervention, PLLC CurrentSince Apr 28, 2020 Accepting new patients
Radiological Physician Associates Inc CurrentSince Sep 15, 2018 Accepting new patients

Locations

327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000

400 Court St
#303
Charleston, WV 25301
Phone (304) 345-1503

700 Village Dr
Fairmont, WV 26554

122 Pinnell St
#720
Ripley, WV 25271
Phone (866) 871-7843

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364428800000",
    "number": "1790028736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 S RUFFNER RD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253141646",
            "telephone_number": "304-389-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR.",
            "address_2": "ROOM 1144",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265066201",
            "telephone_number": "304-293-2463",
            "fax_number": "304-293-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKNEY",
        "first_name": "ADAM",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-28",
        "last_updated": "2013-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.