Active NPI
Chesley Yellott, M.D.
- Family Medicine Physician
- Kearneysville, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20163
- Practice address
- 150 E Burr Blvd
Kearneysville, WV 25430-4793 - Phone
- (681) 242-8819
- NPI assigned
- Jun 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 20163 | WV | |
| Family Medicine Physician | 207Q00000X | 20163 | WV | Primary |
Addresses
Primary practice location
150 E Burr Blvd
Kearneysville, WV 25430-4793
Mailing address
150 E Burr Blvd Washington BLDG
Kearneysville, WV 25430
Phone (681) 242-8819
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5630482000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shenandoah Valley Medical System, Inc. | Past | Accepting new patients | |
| Shenandoah Valley Medical System, Inc. | Past | Accepting new patients | |
| Renovo Center LLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Shenandoah Valley Family Health Center | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 5
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.
-
- Community/Behavioral Health Agency
- Kearneysville, WV
- NPI 1285117325
-
dba Shenandoah Valley Medical System,Inc.
- Federally Qualified Health Center (FQHC)
- Inwood, WV
- NPI 1881893550
Family Medicine
-
dba Shenandoah Community Health Widmyer Elementary
- Federally Qualified Health Center (FQHC)
- Berkeley Springs, WV
- NPI 1568186153
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
dba Winchester Family Health Center
- Federally Qualified Health Center (FQHC)
- Winchester, VA
- NPI 1023217452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525737600000",
"number": "1871597716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 E BURR BLVD WASHINGTON BLDG",
"city": "KEARNEYSVILLE",
"state": "WV",
"postal_code": "25430",
"telephone_number": "681-242-8819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 E BURR BLVD",
"city": "KEARNEYSVILLE",
"state": "WV",
"postal_code": "254304793",
"telephone_number": "681-242-8819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YELLOTT",
"first_name": "CHESLEY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2018-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "WV",
"license": "20163",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "20163",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5630482000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kearneysville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.