Individual provider Active NPI

Camille Marie Ristroph, MD

  • Family Medicine Physician
  • Shiprock, NM
National Provider Identifier
1790786028
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M-9533 Issued in ID
Practice address
US Highway 491 North
Physician Offices
Shiprock, NM 87420-0160
Phone
(505) 368-7010
NPI assigned
Aug 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M-9533 ID Primary
Family Medicine Physician 207Q00000X 25517 WV

Addresses

Primary practice location

US Highway 491 North
Physician Offices
Shiprock, NM 87420-0160

Mailing address

220 Campus Blvd Ste 320
Winchester, VA 22601-2889
Phone (540) 536-5100

Other practice location 1

363 Sunrise Blvd
Romney, WV 26757-4607
Phone (540) 536-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WV, WY3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20080401000157 TX Practitioner - Family Practice 0547346504 Reassigns benefits to 1 organization
I20131217000424 WV Practitioner - Family Practice 0547346504 Reassigns benefits to 2 organizations
I20251008002092 WY Practitioner - Family Practice 0547346504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in Shreveport, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
War Memorial Hospital, Inc. 27 clinicians
Campbell County Hospital District 128 clinicians

Practice addresses (Care Compare)

1 Healthy Way
Berkeley Springs, WV 25411-7463

3774 Valley Rd
Berkeley Springs, WV 25411-4614
Phone (304) 258-9433

501 S Burma Ave
Gillette, WY 82716-3426
Phone (307) 688-1000

Hospital & facility affiliations

  • Campbell County Health Hospital, Gillette, WY, CCN 530002
  • Valley Health War Memorial Hospital Hospital, Berkeley Springs, WV, CCN 511309

Merit-based Incentive Payment System (MIPS)

Final score
83.65 of 100Reported as group
Quality
68.3
Improvement activities
40
Cost
86.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25517WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
War Memorial Hospital Inc Current Accepting new patients
Hospitalist Medicine Physicians of West Virginia, PLLC Family Medicine CurrentSince Mar 18, 2024 Accepting new patients
Pueblo Pintado Clinic Current Accepting new patients
Campbell County Hospital District CurrentSince Oct 30, 2025 Accepting new patients
Thoreau Clinic CurrentSince Oct 21, 2019 Accepting new patients
DHHS PHS Naihs Crownpoint Hospital CurrentSince Oct 21, 2019 Accepting new patients
Campbell County Hospital District Family Medicine Current Accepting new patients
Campbell County Hospital District CurrentSince Oct 30, 2025 Accepting new patients
War Memorial Hospital, Inc. Family Medicine CurrentSince Jan 1, 2025 Accepting new patients
Campbell County Hospital District Current Accepting new patients
War Memorial Hospital, Inc. CurrentSince Jan 1, 2025 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital Past Accepting new patients

Locations

220 Campus Blvd
Ste 320
Winchester, VA 22601

109 War Memorial Dr
Berkeley Springs, WV 25411
Phone (304) 258-1234

3774 Valley Rd
Berkeley Springs, WV 25411
Phone (304) 258-9433

1 Healthy Way
Berkeley Springs, WV 25411
Phone (304) 258-1234

2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134

363 Sunrise Blvd
Romney, WV 26757
Phone (304) 822-4561

501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811

Interoperability endpoints

  • Direct secure messaging: cristroph1100944@valleyhealth.direct-ci.com

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 3

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1790786028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CAMPUS BLVD STE 320",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012889",
            "telephone_number": "540-536-5100",
            "fax_number": "540-536-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "US HIGHWAY 491 NORTH",
            "address_2": "PHYSICIAN OFFICES",
            "city": "SHIPROCK",
            "state": "NM",
            "postal_code": "874200160",
            "telephone_number": "505-368-7010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "363 Sunrise Blvd",
            "address_purpose": "LOCATION",
            "city": "Romney",
            "state": "WV",
            "postal_code": "267574607",
            "country_code": "US",
            "telephone_number": "540-536-8000",
            "fax_number": "540-536-7780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RISTROPH",
        "first_name": "CAMILLE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-9533",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "25517",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shiprock, NM

Sources for this page

Verify at the official NPI Registry.