NPIMap

Organization Active NPI

Hcma Consultants, Inc

Doing business as Doctors Immedicare

  • Multi-Specialty Clinic/Center
  • Beckley, WV
National Provider Identifier
1932190865
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
HCMA CONSULTANTS, INC
Doing business as
Doctors Immedicare
Practice address
1802 Harper Rd Ste 102
Beckley, WV 25801
Phone
(304) 252-9211
Fax
(304) 252-9218
NPI assigned
Oct 31, 2005
Last updated
Feb 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Authorized official

Name
Prakash Puranik, M.D.NPI 1538270590
Title
Member
Phone
(304) 252-9211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1802 Harper Rd Ste 102
Beckley, WV 25801

Mailing address

1802 Harper Rd Ste 102
Beckley, WV 25801-3376
Phone (304) 252-9211

Other practice location 1

1810 Harper Rd
Ste A
Beckley, WV 25801
Phone (304) 252-9211

Other names 1

  • Doctors Immedicare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031204000691 WV Part B Supplier - Clinic/Group Practice 1456256239 Receives reassigned benefits from 7 practitioners
Practice locations: Beckley, WV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D0235325Hcma Consultants Inc Dba Doctors' Immedicare Inc1802 Harper Rd Suite 102, Beckley, WV 25801Certificate of waiverMar 29, 2027

National Provider Directory

National Provider Directory

Locations

1802 Harper Rd
Ste 102
Beckley, WV 25801
Phone (304) 252-9211

1902 Harper Rd
Ste E
Beckley, WV 25801
Phone (304) 252-9211

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580947200000",
    "number": "1932190865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 HARPER RD STE 102",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013376",
            "telephone_number": "304-252-9211",
            "fax_number": "304-252-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 HARPER RD STE 102",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "25801",
            "telephone_number": "304-252-9211",
            "fax_number": "304-252-9218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1810 Harper Rd",
            "address_2": "Ste A",
            "address_purpose": "LOCATION",
            "city": "Beckley",
            "state": "WV",
            "postal_code": "25801",
            "country_code": "US",
            "telephone_number": "304-252-9211",
            "fax_number": "304-252-9218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HCMA CONSULTANTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A",
        "authorized_official_last_name": "PURANIK",
        "authorized_official_first_name": "PRAKASH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "304-252-9211",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Immedicare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Doctors Immedicare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.