NPIMap

Individual provider Active NPI

Kenneth Sells, DO

  • Family Medicine Physician
  • Logan, WV
National Provider Identifier
1902838824
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1489 Issued in WV
Practice address
533 Main St
Logan, WV 25601-3809
Phone
(304) 752-3400
Fax
(304) 752-8138
NPI assigned
Jul 7, 2006
Last updated
Oct 26, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1489 WV Primary

Addresses

Primary practice location

533 Main St
Logan, WV 25601-3809

Mailing address

204 Main Street
Suite 204
Logan, WV 25601-0294
Phone (304) 752-3400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120222001031 WV Practitioner - HospitalistPractitioner - Physical Medicine and Rehabilitation 6406014349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Physical Medicine and Rehabilitation
Education
West Virginia School of Osteopathic Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apogee Medical Group West Virginia PLLCGroup PAC ID 0941343255, 37 clinicians

Practice addresses (Care Compare)

20 Hospital Dr
Logan, WV 25601-3452
Phone (304) 831-3446

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.87 of 100Reported as group
Quality
80.8
Improvement activities
40
Cost
81.84

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group, West Virginia, PLLC CurrentSince Jan 1, 2017 Accepting new patients
Trinity Health Care Services of Logan Inc Past Accepting new patients
Logan General Hospital LLC Family Medicine Past Accepting new patients
Logan General Hospital LLC Past Accepting new patients

Locations

20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101

Organizations & group practices 6

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1902838824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 MAIN STREET",
            "address_2": "SUITE 204",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256010294",
            "telephone_number": "304-752-3400",
            "fax_number": "304-752-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 MAIN ST",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256013809",
            "telephone_number": "304-752-3400",
            "fax_number": "304-752-8138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLS",
        "first_name": "KENNETH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "1489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, WV

Sources for this page

Verify at the official NPI Registry.