Rudolph Michael Kevak, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

18988 Issued in WV

Practice address

200 Main St
Saint Albans, WV 25177-2802

Phone

(304) 201-3600

Fax

(304) 201-2368

NPI assigned

Jul 19, 2005

Last updated

Apr 20, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Minnie Hamilton Health Care Center, Inc.

  dba Critical Access Hospital

  • Critical Access Hospital
  • Grantsville, WV
  • NPI 1124029400
  Medicare reassignment
• Saint Albans Integrative Health Center Inc

  • Internal Medicine Physician
  • Saint Albans, WV
  • NPI 1326328006
  NPD (past) Authorized official
• St. Albans Integrative Health Center

  • Health Maintenance Organization
  • Saint Albans, WV
  • NPI 1417249459
  Authorized official Same address or phone
• Jonathan B Murphy MD Inc

  dba Natural Path

  • Clinic/Center
  • Saint Albans, WV
  • NPI 1164516803
  NPD (past)

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303257600000",
    "number": "1932108206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MAIN ST",
            "city": "SAINT ALBANS",
            "state": "WV",
            "postal_code": "251772802",
            "telephone_number": "304-201-3600",
            "fax_number": "304-201-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAIN ST",
            "city": "SAINT ALBANS",
            "state": "WV",
            "postal_code": "251772802",
            "telephone_number": "304-201-3600",
            "fax_number": "304-201-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEVAK",
        "first_name": "RUDOLPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2011-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "18988",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "18988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5600010-000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Kennedy
• Melissa Kennedy
• Shannon Marie Kennedy, RPH
• Heather Kersey
• Paula Kerwood
• Kimberly T. Lough, DDS, Ms, PLLC
• Heather Kincaid
• Cheryl King, PRSS
• Sammi Sue King
• Charles Scott Kingery, PRSS

• Internal Medicine Physician in Saint Albans, WV
• Providers in Saint Albans, WV by specialty
• Internal Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.

Verify at the official NPI Registry.