Individual provider Active NPI

Kara Willenburg, M.D.

  • Infectious Disease Physician
  • Huntington, WV
National Provider Identifier
1972705150
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
25720 Issued in WV
Practice address
1249 15TH St
Suite 3000
Huntington, WV 25701-3662
Phone
(304) 691-1000
Fax
(304) 691-1693
NPI assigned
Jun 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25720 WV
Infectious Disease Physician 207RI0200X 25720 WV Primary

Addresses

Primary practice location

1249 15TH St
Suite 3000
Huntington, WV 25701-3662

Mailing address

1249 15TH St
Suite 3000
Huntington, WV 25701-3662
Phone (304) 691-1000

Other practice location 1

2828 1st Ave Ste 304
Huntington, WV 25702-1236
Phone (304) 399-7213

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kara.willenburg@marshall.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, WY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140321001642 WV Practitioner - Infectious DiseasePractitioner - Internal Medicine 7012053861 Reassigns benefits to 1 organization
I20230622000447 WY Practitioner - Infectious Disease 7012053861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rocky Mountain Infectious DiseasesGroup PAC ID 6608862354, 6 clinicians

Practice addresses (Care Compare)

1450 E a St
Suite 1
Casper, WY 82601-2239
Phone 30723487003

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25720WVMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary'S Medical Management, LLC Internal Medicine CurrentSince May 1, 2021 Accepting new patients
St. Mary'S Medical Management, LLC CurrentSince May 1, 2021 Accepting new patients
Rocky Mountain Infectious Diseases Infectious Disease CurrentSince Jul 1, 2023 Accepting new patients

Locations

1249 15th St
Ste 3000
Huntington, WV 25701
Phone (304) 691-1095

2828 1st Ave
Ste 304
Huntington, WV 25702
Phone (304) 399-7213

3075 US Route 60
Huntington, WV 25705
Phone (304) 733-0004

2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111

1249 15th St
Ste 2000
Huntington, WV 25701
Phone (304) 691-1086

1450 E A St
Ste 12
Casper, WY 82601

1450 E A St
Casper, WY 82601
Phone (307) 235-1503

1450 E A St
Ste 1
Casper, WY 82601
Phone (307) 234-8700

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/58a432b4-e1e9-4961-babc-ff3b87eb8606/

Organizations & group practices 3

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 6

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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1972705150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1249 15TH ST",
            "address_2": "SUITE 3000",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013662",
            "telephone_number": "304-691-1000",
            "fax_number": "304-691-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 15TH ST",
            "address_2": "SUITE 3000",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013662",
            "telephone_number": "304-691-1000",
            "fax_number": "304-691-1693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2828 1st Ave Ste 304",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257021236",
            "country_code": "US",
            "telephone_number": "304-399-7213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLENBURG",
        "first_name": "KARA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "25720",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "WV",
            "license": "25720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kara.willenburg@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1249 15th St",
            "address_2": "Suite 3000",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257013662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.