BLUEFIELD GASTROENTEROLOGY PLLC
NPI 1093869968
Specialist in Princeton, WV

NPI Status: Active since January 22, 2007

Contact Information

405 12TH STREET EXT
PRINCETON, WV
ZIP 24740
Phone: (304) 425-7243
Fax: (304) 487-3525

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Specialist
Accepts Insurance

About BLUEFIELD GASTROENTEROLOGY PLLC

This page provides the complete NPI Profile along with additional information for Bluefield Gastroenterology Pllc, a provider established in Princeton, West Virginia operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1093869968 assigned on January 2007. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mr. Kamalesh P Patel M.d. (Owner)

NPI: 1093869968
Provider Name: BLUEFIELD GASTROENTEROLOGY PLLC
Entity Type: Organization
Location Address: 405 12TH STREET EXT PRINCETON, WV 24740
Location Phone: (304) 425-7243
Location Fax: (304) 487-3525
Mailing Address: 405 12TH STREET EXT PRINCETON, WV 24740
Mailing Phone: (304) 425-7243
Mailing Fax: (304) 487-3525
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 01-22-2007
Last Update Date: 11-21-2007
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Specialist
Taxonomy Code: 174400000X
Type: Other Service Providers
Taxonomy Description: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

CareSource

Bronze First 7500 $25 Generic Drugs - HMO
Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
Gold 1500 $15 Generic Drugs - HMO
Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
Low Deductible Silver 4500 $3 Generic Drugs - HMO
Low Deductible Silver 4500 $3 Generic Drugs Adult Vision & Fitness - HMO
Low Premium Silver 6000 $3 Generic Drugs - HMO
Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
Platinum Zero $5 Generic Drugs - HMO
Platinum Zero $5 Generic Drugs Adult Vision & Fitness - HMO
Silver 5000 $20 Generic Drugs - HMO
Silver 5000 $20 Generic Drugs Adult Vision & Fitness - HMO

Highmark Blue Cross Blue Shield West Virginia

my Blue Access WV Major Events PPO Catastrophic 9200 - 3 Free PCP Visits - PPO
my Blue Access WV PPO Bronze 3800 - PPO
my Blue Access WV PPO Bronze 3800 + Adult Dental and Vision - PPO
my Blue Access WV PPO Bronze 7400 HSA - Custom Drug Benefit - PPO
my Blue Access WV PPO Bronze 8900 - PPO
my Blue Access WV PPO Gold 0 - PPO
my Blue Access WV PPO Gold 0 + Adult Dental and Vision - PPO
my Blue Access WV PPO Gold 1700 HSA - PPO
my Blue Access WV PPO Premier Gold 0 - PPO
my Blue Access WV PPO Premier Gold 0 + Adult Dental and Vision - PPO
my Blue Access WV PPO Silver 7000 - PPO
my Blue Access WV PPO Standard Bronze 7500 - PPO
my Blue Access WV PPO Standard Gold 1500 - PPO
my Blue Access WV PPO Standard Silver 5000 - PPO
my Blue Access WV PPO Standard Silver 5000 + Adult Dental and Vision - PPO

Railroad Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MR. KAMALESH P PATEL M.D.
Authorized Official Title: OWNER
Authorized Official Phone: (304) 425-7243

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
CK3736	OTHER (01)	WV	RAILROAD MEDICARE
3810004352	MEDICAID (05)	WV
1807132	OTHER (01)	WV	BLUECROSS BLUESHIELD
9327311	MEDICARE PIN (08)	WV

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	0	9	3	8	6	9	9	6	8
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	0	18	3	16	6	18	9	12
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 8 + 3 + 1 + 6 + 6 + 1 + 8 + 9 + 1 + 2 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 8									8

The NPI number 1093869968 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.