Individual provider Active NPI

Anthony James Roda-Renzelli, MD

  • Interventional Cardiology Physician
  • Morgantown, WV
National Provider Identifier
1992803506
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
21996 Issued in WV
Practice address
2000 Mon Health Medical Park Dr Ste 2300
Morgantown, WV 26505-1168
Phone
(304) 599-8802
Fax
(304) 599-5607
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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 21996 WV
Interventional Cardiology Physician 207RI0011X 21996 WV Primary

Addresses

Primary practice location

2000 Mon Health Medical Park Dr Ste 2300
Morgantown, WV 26505-1168

Mailing address

2000 Mon Health Medical Park Dr Ste 2300
Morgantown, WV 26505-1168
Phone (304) 599-8802

Other practice location 1

812 Gorman Ave
Elkins, WV 26241-3181
Phone (304) 636-3300

Other practice location 2

150 Memorial Dr
Kingwood, WV 26537-1141
Phone (304) 329-4701

Other practice location 3

501 Railroad Ave
Elkins, WV 26241-3885
Phone (304) 636-5006

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address arodarenzelli2436@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address arodarenzelli2436@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address arodarenzelli2436@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address arodarenzelli2436@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address rodarenzellia@direct.monhealthsys.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100723000213 WV Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 3678605839 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
West Virginia University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stonewall Jackson Memorial Hospital CompanyGroup PAC ID 4284530551, 64 clinicians

Practice addresses (Care Compare)

230 Hospital PLZ
Weston, WV 26452-8558
Phone (304) 269-8000

501 Railroad Ave
Elkins, WV 26241-3885
Phone (304) 636-5006

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting56

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monongalia County General Hospital Company Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
Stonewall Jackson Memorial Hospital Company CurrentSince Nov 13, 2023 Accepting new patients
Stonewall Jackson Memorial Hospital Company CurrentSince Nov 13, 2023 Accepting new patients
Mon Health Marion Neighborhood Hospital, Inc. Past Accepting new patients
Family Medical Clinic of Jane Lew Past Accepting new patients

Locations

812 Gorman Ave
Elkins, WV 26241
Phone (304) 636-3300

501 Railroad Ave
Elkins, WV 26241
Phone (304) 636-5006

1 Huntington Way
Ste 100
Fairmont, WV 26554
Phone (304) 363-6210

150 Memorial Dr
Kingwood, WV 26537
Phone (304) 329-4701

2000 Mon Health Medical Park Dr
Ste 2300
Morgantown, WV 26505
Phone (304) 599-8802

1200 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-1460

66 Hospital Plz
Ste 102
Weston, WV 26452
Phone (304) 269-4252

230 Hospital Plz
Weston, WV 26452
Phone (304) 269-8000

140 Middletown Loop
White Hall, WV 26554
Phone (304) 333-1150

Interoperability endpoints

  • Direct secure messaging: rodarenzellia@direct.monhealthsys.org

Organizations & group practices 5

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1992803506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MON HEALTH MEDICAL PARK DR STE 2300",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051168",
            "telephone_number": "304-599-8802",
            "fax_number": "304-599-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MON HEALTH MEDICAL PARK DR STE 2300",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051168",
            "telephone_number": "304-599-8802",
            "fax_number": "304-599-5607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "812 Gorman Ave",
            "address_purpose": "LOCATION",
            "city": "Elkins",
            "state": "WV",
            "postal_code": "262413181",
            "country_code": "US",
            "telephone_number": "304-636-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "WV",
            "postal_code": "265371141",
            "country_code": "US",
            "telephone_number": "304-329-4701",
            "fax_number": "304-329-4716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Railroad Ave",
            "address_purpose": "LOCATION",
            "city": "Elkins",
            "state": "WV",
            "postal_code": "262413885",
            "country_code": "US",
            "telephone_number": "304-636-5006",
            "fax_number": "304-636-4898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODA-RENZELLI",
        "first_name": "ANTHONY",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "21996",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "WV",
            "license": "21996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "arodarenzelli2436@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Medical Center Dr",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265061200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "arodarenzelli2436@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Medical Center Dr",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265061200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "arodarenzelli2436@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Medical Center Dr",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265061200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "arodarenzelli2436@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Medical Center Dr",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265061200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rodarenzellia@direct.monhealthsys.org",
            "affiliation": "N",
            "endpointDescription": "Mon Health Heart & Vascular Center",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2000 Mon Health Medical Park Dr Ste 2300",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265051168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.