Justin Bailey, MD
Individual provider Active NPI Internal Medicine Physician · Charleston, WV
NPI 1992784243 · NPPES record last updated Aug 7, 2013
Key facts
- NPI
- 1992784243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 20410 (WV)
- Practice address
- 300 Kenton Dr
Suite 100
Charleston, WV 25311-1263 - Phone
- (304) 346-5533
- Fax
- (304) 346-5611
- NPI assigned
- Jan 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 17
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- West Virginia University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mountain State Medical Associates PLLC
Practice addresses (Care Compare)
300 Kenton Dr
Suite 100
Charleston, WV 25311-1266
Phone (304) 346-5533
Hospital & facility affiliations
- Adoration Home Health
- Centerwell Home Health
- Charleston Area Medical Center
- Thomas Memorial Hospital
- Montgomery General Hospital
- Jackson General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041208000056 | WV | Practitioner - Internal Medicine | 8123082385 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20410 | WV | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain State Medical Associates PLLC | Internal Medicine | Current |
Accepting new patients |
| New Century Medical Observation Services of West Virginia, Inc | Past | Accepting new patients | |
| Jessica Beth Salansky MD PLLC | Past | Accepting new patients | |
| Charleston Area Medical Center Inc | Past | Accepting new patients |
Locations
400 Court St
Ste 200
Charleston, WV 25301
Phone (304) 346-5533
300 Kenton Dr
Ste 100
Charleston, WV 25311
Phone (304) 346-5533
Interoperability endpoints
- jbaileymd@1edd1a2c.micromddirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 20410 | WV | Yes |
Addresses
Primary practice location
300 Kenton Dr
Suite 100
Charleston, WV 25311-1263
Mailing address
300 Kenton Dr
Suite 100
Charleston, WV 25311-1263
Phone (304) 346-5533
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447349238 | Other | WV | NPI NUMBER FOR GROUP |
| DC7713 | Other | WV | UMWA NUMBER FOR GROUP |
| P00215125 | Other | WV | RAILROAD MEDICARE NUMBER FOR GROUP |
| 001706175 | Other | WV | BLUE CROSS FOR GROUP |
| 3810001081 | Medicaid | WV | |
| P00189318 | Other | WV | UMWA PIN NUMBER FOR GROUP |
Other providers in Charleston, WV
- Jason Bailey
- Jeanie Bailey
- Jerad Lee Bailey
- Jessica Bailey
- John Edward Bailey
- Karen Lynn Bailey
- Kathy Ann Bailey
- Kelly Bailey
- Khara Bailey
- Kristy L Bailey
All providers in Charleston, WV · Internal Medicine Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.