Active NPI
Richard Elliot Piccirillo, M.D.
- Internal Medicine Physician
- Elkins, WV
National Provider Identifier
1972606812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 09937
- Practice address
- 62 Barnard Ave
Elkins, WV 26241-3150 - Phone
- (304) 636-7451
- Fax
- (304) 637-2007
- NPI assigned
- Sep 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 09937 | WV | Primary |
Addresses
Primary practice location
62 Barnard Ave
Elkins, WV 26241-3150
Mailing address
Central WV Medcorp Inc
PO Box 2630
Elkins, WV 26241-2630
Phone (304) 636-7451
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000139958 | Other | WV | BCBS PROVIDER NUMBER |
| WV09937A | Other | WV | HEALTH PLAN PROVIDER NBR |
| 0082929001 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Davis Memorial Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Elkins, WV
- NPI 1619964806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263168000000",
"number": "1972606812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CENTRAL WV MEDCORP INC",
"address_2": "PO BOX 2630",
"city": "ELKINS",
"state": "WV",
"postal_code": "262412630",
"telephone_number": "304-636-7451",
"fax_number": "304-637-2007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 BARNARD AVE",
"city": "ELKINS",
"state": "WV",
"postal_code": "262413150",
"telephone_number": "304-636-7451",
"fax_number": "304-637-2007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICCIRILLO",
"first_name": "RICHARD",
"middle_name": "ELLIOT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2010-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WV",
"license": "09937",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "000139958",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLAN PROVIDER NBR",
"identifier": "WV09937A",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0082929001",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elkins, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.