NPIMap

Individual provider Active NPI

Justin Bailey, MD

  • Internal Medicine Physician
  • Charleston, WV
National Provider Identifier
1992784243
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20410 Issued in 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
Last updated
Aug 7, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20410 WV Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041208000056 WV Practitioner - Internal Medicine 8123082385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 PLLCGroup PAC ID 8921062183, 6 clinicians

Practice addresses (Care Compare)

300 Kenton Dr
Suite 100
Charleston, WV 25311-1266
Phone (304) 346-5533

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain State Medical Associates PLLC Internal Medicine CurrentSince Jan 1, 2005 Accepting new patients
New Century Medical Observation Services of West Virginia, Inc Past Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
Jessica Beth Salansky MD PLLC Past Accepting new patients

Locations

300 Kenton Dr
Ste 100
Charleston, WV 25311
Phone (304) 346-5533

400 Court St
Ste 200
Charleston, WV 25301
Phone (304) 346-5533

Interoperability endpoints

  • Direct secure messaging: jbaileymd@1edd1a2c.micromddirect.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1137196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1992784243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 KENTON DR",
            "address_2": "SUITE 100",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253111263",
            "telephone_number": "304-346-5533",
            "fax_number": "304-346-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 KENTON DR",
            "address_2": "SUITE 100",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253111263",
            "telephone_number": "304-346-5533",
            "fax_number": "304-346-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-14",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "20410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.