Kenneth Hilsbos, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

17553 Issued in WV

Practice address

5 Erwin LN Ste B
Fairmont, WV 26554-1376

Phone

(304) 612-9186

Fax

(304) 366-7763

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

West Virginia University School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• West Virginia University Hospitals, Inc Hospital, Morgantown, WV, CCN 510001

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Hilsbos Family Care, PLLC

  • Family Medicine Physician
  • Fairmont, WV
  • NPI 1134151228
  Medicare reassignment NPD Authorized official
• Clay-Battelle Health Services Association

  • Federally Qualified Health Center (FQHC)
  • Burton, WV
  • NPI 1437214509

  Family Medicine

  NPD (past)

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

• West Virginia University Hospitals, Inc

  • General Acute Care Hospital
  • Morgantown, WV
  • NPI 1841271459
  Care Compare affiliation

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1912922980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ERWIN LN STE B",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265541376",
            "telephone_number": "304-612-9186",
            "fax_number": "304-366-7763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ERWIN LN STE B",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265541376",
            "telephone_number": "304-612-9186",
            "fax_number": "304-366-7763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILSBOS",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "17553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810003579",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendra Hill
• Makayla Hill
• Antwan Hilliard
• Marvin Ray Hilliard
• Hilsbos Family Care, PLLC
• Deborah J Hiltz, MD
• Katelyn Hineman, DDS
• Janet Hinerman
• Sarah Hinerman, BS
• Aaron M Hines

• Family Medicine Physician in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.

Verify at the official NPI Registry.