Active NPI
Robert William Lightfoot
- Surgery Physician
- Ripley, WV
National Provider Identifier
1891258786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 34123
- Practice address
- 122 Pinnell St
Ripley, WV 25271-9101 - Phone
- (304) 373-1578
- NPI assigned
- Apr 9, 2019
- Last updated
- Jul 26, 2024
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgery Physician | 208600000X | 34123 | WV | Primary |
Addresses
Primary practice location
122 Pinnell St
Ripley, WV 25271-9101
Mailing address
2620 Charleston Oaks Dr W
Mobile, AL 36695-2514
Other practice location 1
3200 MacCorkle Ave SE Fl 4
Charleston, WV 25304
Phone (304) 388-8238
Other practice location 2
3200 MacCorkle Ave SE Fl 4
Charleston, WV 25304
Phone (304) 388-8238
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
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- University of South Alabama College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
122 Pinnell St
Morad Hughes Health Ctr
Ripley, WV 25271-9101
Phone (304) 373-1578
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Association | Current | Accepting new patients | |
| Community Health Association | Current | Accepting new patients | |
| Community Health Association | Current | Accepting new patients | |
| Community Health Association | Past | Accepting new patients |
Locations
122 Pinnell St
Ripley, WV 25271
Phone (304) 373-1544
Organizations & group practices 4
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 Jackson General Hospital
- Critical Access Hospital
- Ripley, WV
- NPI 1649277476
-
dba Jackson General Hospital
- Medicare Defined Swing Bed Hospital Unit
- Ripley, WV
- NPI 1083805790
-
- Family Medicine Physician
- Ripley, WV
- NPI 1235753286
-
dba JGH Therapy and SportsCare
- Physical Therapy Clinic/Center
- Ravenswood, WV
- NPI 1124369780
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Jackson General Hospital
- Critical Access Hospital
- Ripley, WV
- NPI 1649277476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721952000000",
"number": "1891258786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 CHARLESTON OAKS DR W",
"city": "MOBILE",
"state": "AL",
"postal_code": "366952514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 PINNELL ST",
"city": "RIPLEY",
"state": "WV",
"postal_code": "252719101",
"telephone_number": "304-373-1578"
}
],
"practiceLocations": [
{
"address_1": "3200 MacCorkle Ave SE Fl 4",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "25304",
"country_code": "US",
"telephone_number": "304-388-8238",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3200 MacCorkle Ave SE Fl 4",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "25304",
"country_code": "US",
"telephone_number": "304-388-8238",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIGHTFOOT",
"first_name": "ROBERT",
"middle_name": "WILLIAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-09",
"last_updated": "2024-07-26",
"certification_date": "2024-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WV",
"license": "34123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ripley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.