Individual provider Active NPI

David Neal Pickering, D.O.

  • Internal Medicine Physician
  • Parkersburg, WV
National Provider Identifier
1932412442
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2485 Issued in WV
Practice address
1900 Garfield Ave Ste a
Parkersburg, WV 26101-2565
Phone
(877) 377-8427
Fax
(304) 699-0396
NPI assigned
Jul 26, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X 2485 WV
Internal Medicine Physician 207R00000X 2485 WV Primary

Addresses

Primary practice location

1900 Garfield Ave Ste a
Parkersburg, WV 26101-2565

Mailing address

1900 Garfield Ave Ste a
Parkersburg, WV 26101-2565
Phone (877) 377-8427

Other identifiers 2

IdentifierTypeStateIssuer
0066900MedicaidOH
1932412442MedicaidWV

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
I20110809000498 WV Practitioner - Internal Medicine 4880863810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
West Virginia School of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mountain State Diabetes PLLCGroup PAC ID 4183053150, 3 clinicians

Practice addresses (Care Compare)

1900 Garfield Ave
Suite a
Parkersburg, WV 26101-2565
Phone (877) 377-8427

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain State Diabetes PLLC Single Specialty CurrentSince Jan 27, 2020 Accepting new patients
Riverview Primary Care Single Specialty PastSince Feb 14, 2020 Accepting new patients

Locations

1212 Garfield Ave
Ste 200
Parkersburg, WV 26101
Phone (304) 865-2778

1900 Garfield Ave
Ste A
Parkersburg, WV 26101
Phone (304) 916-1720

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBCCBD

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1932412442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 GARFIELD AVE STE A",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261012565",
            "telephone_number": "877-377-8427",
            "fax_number": "304-699-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 GARFIELD AVE STE A",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261012565",
            "telephone_number": "877-377-8427",
            "fax_number": "304-699-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKERING",
        "first_name": "DAVID",
        "middle_name": "NEAL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-26",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "WV",
            "license": "2485",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "2485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0066900",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932412442",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

Verify at the official NPI Registry.