Individual provider Active NPI

Jay T Naegele, MD

  • Pediatrics Physician
  • Barboursville, WV
National Provider Identifier
1922063502
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
20083 Issued in WV
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

Updated by the provider on Dec 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6700669000MedicaidWV
2178405MedicaidOH
64015936MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100304000047 WV Practitioner - Pediatric Medicine 5698810455 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20083WVMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians & Surgeons, Inc Pediatrics CurrentSince Jan 20, 2010 Accepting new patients
University Physicians & Surgeons, Inc. CurrentSince Jan 20, 2010 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.