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Individual provider Active NPI

Jonathan Medenilla Zuniga, M.D.

  • Nephrology Physician
  • Hurricane, WV
National Provider Identifier
1831167212
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
20402 Issued in WV
Practice address
3847 Teays Valley Road
Suite a
Hurricane, WV 25526-9622
Phone
(304) 760-8904
Fax
(304) 760-8913
NPI assigned
Mar 10, 2006
Last updated
Feb 4, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 20402 WV Primary

Addresses

Primary practice location

3847 Teays Valley Road
Suite a
Hurricane, WV 25526-9622

Mailing address

3847 Teays Valley Road
Suite a
Hurricane, WV 25526-9622
Phone (304) 760-8904

Other identifiers 1

IdentifierTypeStateIssuer
1805869000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111122000032 WV Practitioner - NephrologyPractitioner - Internal Medicine 8325022163 Reassigns benefits to 1 organization
I20150731014762 OH Practitioner - Nephrology 8325022163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

16 Acme St
Marietta, OH 45750-3306
Phone (304) 760-8904

3847 Teays Valley Rd
Suite a
Hurricane, WV 25526-9820
Phone (304) 760-8904

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
74.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21940ALMDAmbulatory Care Pharmacist
20402WVMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Associates PLLC Nephrology Current Accepting new patients
Kidney Associates PLLC Nephrology CurrentSince Jul 1, 2002 Accepting new patients
Renal Consultants, PLLC Past Accepting new patients

Locations

16 Acme St
Marietta, OH 45750
Phone (304) 760-8904

1400 Hospital Dr
Hurricane, WV 25526
Phone (304) 757-1700

3847 Teays Valley Rd
Ste A
Hurricane, WV 25526
Phone (304) 760-8904

4607 Maccorkle Ave SW
Ste 206
South Charleston, WV 25309
Phone (304) 766-1133

200 Hospital Dr
Spencer, WV 25276
Phone (304) 927-4444

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1831167212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3847 TEAYS VALLEY ROAD",
            "address_2": "SUITE A",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269622",
            "telephone_number": "304-760-8904",
            "fax_number": "304-760-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3847 TEAYS VALLEY ROAD",
            "address_2": "SUITE A",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269622",
            "telephone_number": "304-760-8904",
            "fax_number": "304-760-8913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUNIGA",
        "first_name": "JONATHAN",
        "middle_name": "MEDENILLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WV",
            "license": "20402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1805869000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurricane, WV

Sources for this page

Verify at the official NPI Registry.