Active NPI
Jay T Naegele, MD
- Pediatrics Physician
- Barboursville, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 20083
- Practice address
- 6007 Route 60 East
Suite 203
Barboursville, WV 25504 - Phone
- (304) 733-9270
- Fax
- (304) 733-9087
- NPI assigned
- Apr 18, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 20083 | WV | Primary |
Addresses
Primary practice location
6007 Route 60 East
Suite 203
Barboursville, WV 25504
Mailing address
5170 US Route 60 E
Huntington, WV 25705-2065
Phone (304) 399-4422
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6700669000 | Medicaid | WV | |
| 2178405 | Medicaid | OH | |
| 64015936 | Medicaid | KY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Jay.Naegele@marshall.cernerdirect.com |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20083 | WV | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physicians & Surgeons, Inc | Pediatrics | Current | Accepting new patients |
| University Physicians & Surgeons, Inc. | Current | Accepting new patients | |
| Cabell Huntington Hospital Inc | Past | Accepting new patients |
Locations
143 Peyton St
Barboursville, WV 25504
Phone (304) 697-2035
1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300
3075 US Route 60
#D
Huntington, WV 25705
Phone (304) 399-4422
1448 10th Ave
Ste 304
Huntington, WV 25701
Phone (304) 691-6381
Interoperability endpoints
- jay.naegele@marshall.cernerdirect.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Huntington, WV
- NPI 1730183286
Pediatrics
-
- Health & Wellness Coach
- Louisa, KY
- NPI 1073256665
-
- General Acute Care Hospital
- Huntington, WV
- NPI 1073518007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638921600000",
"number": "1922063502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5170 US ROUTE 60 E",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257052065",
"telephone_number": "304-399-4422",
"fax_number": "304-399-4433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6007 ROUTE 60 EAST",
"address_2": "SUITE 203",
"city": "BARBOURSVILLE",
"state": "WV",
"postal_code": "25504",
"telephone_number": "304-733-9270",
"fax_number": "304-733-9087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAEGELE",
"first_name": "JAY",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2021-12-08",
"certification_date": "2021-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WV",
"license": "20083",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6700669000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2178405",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64015936",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Jay.Naegele@marshall.cernerdirect.com",
"affiliation": "N",
"address_1": "5170 U.S. Route 60",
"address_2": "Door D",
"city": "Huntington",
"state": "WV",
"country_code": "US",
"postal_code": "25705",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Barboursville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.