Individual provider Active NPI

Milton J. Plata, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Charleston, WV
National Provider Identifier
1871639419
Registry record updated Dec 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
13802 Issued in WV
Practice address
3200 Maccorkle Avenue SE
Pathology Department
Charleston, WV 25304
Phone
(304) 388-5550
Fax
(304) 388-4352
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology Physician 207ZC0500X 13802 WV
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 13802 WV Primary

Addresses

Primary practice location

3200 Maccorkle Avenue SE
Pathology Department
Charleston, WV 25304

Mailing address

3200 Maccorkle Avenue
Charleston, WV 25304
Phone (304) 388-5550

Other identifiers 1

IdentifierTypeStateIssuer
0102128000MedicaidWV

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
I20040604000017 WV Practitioner - Pathology 9638151566 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montgomery General Hospital, IncGroup PAC ID 6204735269, 37 clinicians

Practice addresses (Care Compare)

11 Courtney Dr
Charleston, WV 25304-2699
Phone (304) 925-8521

1220 Lee St E
Charleston, WV 25301-1863
Phone (304) 388-7270

1220 Lee St E
Charleston, WV 25301-1864

13 Courtney Dr
Charleston, WV 25304-2699
Phone (304) 925-4200

1400 Hospital Dr
Hurricane, WV 25526-9202
Phone (304) 757-1700

1401 Hospital Dr
Suite 201
Hurricane, WV 25526-9239
Phone (304) 388-4949

1836 Harper Rd
Beckley, WV 25801-3366
Phone (304) 250-0200

1838 Harper Rd
Beckley, WV 25801-3366
Phone (304) 388-9337

1844 Harper Rd
Beckley, WV 25801-3366

210 Brooks St
Suite 200
Charleston, WV 25301-1848
Phone (304) 388-1930

3004 Chesterfield Ave
Suite 201
Charleston, WV 25304-1127
Phone (304) 388-5070

3100 Maccorkle Ave SE
Suite 205
Charleston, WV 25304-1228
Phone (304) 388-2303

3100 Maccorkle Ave SE
Suite 408
Charleston, WV 25304-1230
Phone (304) 388-5120

3100 Maccorkle Ave SE
Suite 610
Charleston, WV 25304-1231
Phone (304) 388-5280

3100 Maccorkle Ave SE
Suite 810
Charleston, WV 25304-1233
Phone (304) 351-3961

3200 Maccorkle Ave SE
Charleston, WV 25304-1227
Phone (304) 388-5432

3415 Maccorkle Ave SE
Charleston, WV 25304-1334
Phone (304) 388-8380

3948 Teays Valley Rd
Hurricane, WV 25526-8728

400 Association Dr
Suite 102
Charleston, WV 25311-1298

401 6TH Ave
Montgomery, WV 25136-2116
Phone (304) 442-5151

415 Morris St
Charleston, WV 25301-1840

415 Morris St
Charleston, WV 25301-1853

501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-5432

800 Pennsylvania Ave
Charleston, WV 25302-3351
Phone (304) 388-5432

830 Pennsylvania Ave
Charleston, WV 25302-3389

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13802WVMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Development Co Current Accepting new patients
Hospital Development Co CurrentSince Aug 1, 2022 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Nov 18, 2015 Accepting new patients
Montgomery General Hospital, Inc CurrentSince Feb 17, 2001 Accepting new patients
Hospital Development Co CurrentSince Aug 1, 2022 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Nov 18, 2015 Accepting new patients
Hospital Development Co Current Accepting new patients
Montgomery General Hospital, Inc CurrentSince Feb 17, 2001 Accepting new patients
Oak Hill Hospital Corporation Past Accepting new patients

Locations

415 Morris St
Ste 309
Charleston, WV 25301
Phone (304) 348-3290

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550

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

3703 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 757-2273

401 6th Ave
Montgomery, WV 25136
Phone (304) 442-5151

430 Main St W
Oak Hill, WV 25901
Phone (276) 325-0678

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

Organizations & group practices 9

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450396800000",
    "number": "1871639419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 MACCORKLE AVENUE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "25304",
            "telephone_number": "304-388-5550",
            "fax_number": "304-388-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 MACCORKLE AVENUE SE",
            "address_2": "PATHOLOGY DEPARTMENT",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "25304",
            "telephone_number": "304-388-5550",
            "fax_number": "304-388-4352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLATA",
        "first_name": "MILTON",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2015-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "WV",
            "license": "13802",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "WV",
            "license": "13802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0102128000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.