Individual provider Active NPI

Kenneth David Lefler, M.D.

  • Family Medicine Physician
  • Keyser, WV
National Provider Identifier
1932162856
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16453 Issued in WV
Practice address
167 S Mineral St
Potomac Valley Hospital Ed
Keyser, WV 26726-2643
Phone
(304) 597-1134
Fax
(304) 597-1112
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 16453 WV
Family Medicine Physician 207Q00000X 16453 WV Primary

Addresses

Primary practice location

167 S Mineral St
Potomac Valley Hospital Ed
Keyser, WV 26726-2643

Mailing address

12005 Ridgewood Dr
Fort Ashby, WV 26719-9237
Phone (304) 597-1134

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address klefler112216@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address klefler112216@direct.wvuhsdirect.com Health Information Exchange (HIE)

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
I20050607000683 WV Practitioner - Family PracticePractitioner - Emergency Medicine 6901849322 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16453WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Potomac Valley Hospital of W VA , Inc Emergency Medicine CurrentSince Jan 1, 2011 Accepting new patients
Potomac Valley Hospital of WV, Inc. Emergency Medicine CurrentSince Jan 1, 2011 Accepting new patients
Potomac Valley Hospital of W VA , Inc PastSince Dec 22, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

10261 Frankfort Hwy
Fort Ashby, WV 26719
Phone (304) 597-3600

100 Pin Oak Ln
Ste 3
Keyser, WV 26726
Phone (304) 597-3790

100 Pin Oak Ln
Keyser, WV 26726
Phone (304) 597-3500

167 S Mineral St
Keyser, WV 26726
Phone (304) 788-0785

Organizations & group practices 4

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1932162856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12005 RIDGEWOOD DR",
            "city": "FORT ASHBY",
            "state": "WV",
            "postal_code": "267199237",
            "telephone_number": "304-597-1134",
            "fax_number": "304-597-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 S MINERAL ST",
            "address_2": "POTOMAC VALLEY HOSPITAL ED",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267262643",
            "telephone_number": "304-597-1134",
            "fax_number": "304-597-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFLER",
        "first_name": "KENNETH",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "16453",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "16453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "klefler112216@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10261 Frankfort Hwy",
            "city": "Fort Ashby",
            "state": "WV",
            "country_code": "US",
            "postal_code": "267194533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "klefler112216@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10261 Frankfort Hwy",
            "city": "Fort Ashby",
            "state": "WV",
            "country_code": "US",
            "postal_code": "267194533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Keyser, WV

Sources for this page

Verify at the official NPI Registry.