Eleni Kitsos, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

29596 Issued in WV

Practice address

900 Lodgeville Rd
Bridgeport, WV 26330-1488

Phone

(304) 842-3311

Fax

(304) 842-3313

NPI assigned

Mar 25, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Locations

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.

• United Physicians Care Inc

  • Family Medicine Physician
  • Shinnston, WV
  • NPI 1184849200

  Pediatrics

  Medicare reassignment NPD
• United Physicians Care Inc

  • Family Medicine Physician
  • Grafton, WV
  • NPI 1891863874
  NPD
• United Hospital Center, Inc

  • General Acute Care Hospital
  • Bridgeport, WV
  • NPI 1184606600
  NPD (past)

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1932561263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 LODGEVILLE RD",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301488",
            "telephone_number": "304-842-3311",
            "fax_number": "304-842-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 LODGEVILLE RD",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301488",
            "telephone_number": "304-842-3311",
            "fax_number": "304-842-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITSOS",
        "first_name": "ELENI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-25",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "29596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Rennae Kirkendall, MS,AADC
• Mara Alexis Kirkpatrick
• Padraig Kirkwood
• Courtney Danielle Kisamore, LGSW
• Christina Kitsos, M.D.
• Amber Nicole Klema, LCSW
• Gracee Klingensmith
• Klpnp LLC
• Knapp Hearing Aid Center LLP
• Robert L Knapp III

• Pediatrics Physician in Bridgeport, WV
• Providers in Bridgeport, WV by specialty
• Pediatrics Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.