Active NPI
Cortney Ballengee Menchini, M.D.
- Pediatric Gastroenterology Physician
- Morgantown, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- 28139
- Practice address
- 1 Medical Center Dr
Morgantown, WV 26506 - Phone
- (304) 598-4800
- NPI assigned
- Mar 23, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 75923 | GA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Gastroenterology Physician | 2080P0206X | 28139 | WV | Primary |
Addresses
Primary practice location
1 Medical Center Dr
Morgantown, WV 26506
Mailing address
1 Medical Center Dr
Morgantown, WV 26506-1200
Phone (304) 598-4800
Other practice location 1
# 2015
Uppergate Drive
Atlanta, GA 30322-0816
Phone (404) 785-5437 ext. 55437
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Pediatrics | Current | Accepting new patients |
Locations
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800
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.
-
dba University Health Associates
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
Pediatrics
-
dba Crisis Support and Recovery Center
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
-
dba WVU Obstetrics & Gynecology-Bridgeport
- Clinical Medical Laboratory
- Bridgeport, WV
- NPI 1457605404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532304000000",
"number": "1851690325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265061200",
"telephone_number": "304-598-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "26506",
"telephone_number": "304-598-4800"
}
],
"practiceLocations": [
{
"address_1": "# 2015",
"address_2": "Uppergate Drive",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303220816",
"country_code": "US",
"telephone_number": "404-785-5437 x55437",
"fax_number": "434-244-5244",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENCHINI",
"first_name": "CORTNEY",
"middle_name": "BALLENGEE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-23",
"last_updated": "2018-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "75923",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "WV",
"license": "28139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.