BLUERIDGE CLINIC PLLC
NPI 1922763051
Internal Medicine - Gastroenterology in Beckley, WV
About Blueridge Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLUERIDGE CLINIC PLLC (NPI 1922763051) is a healthcare organization registered as a gastroenterology in Beckley, West Virginia and active in the NPI registry since November 2021. The organization lists Angela Dolganiuc, Provider/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Blueridge Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Blueridge Clinic PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Blueridge Clinic PLLC's NPI number?
The NPI number for Blueridge Clinic PLLC is 1922763051. It was assigned to this organization in the NPPES registry on November 3, 2021.
Where is Blueridge Clinic PLLC located?
Blueridge Clinic PLLC is located at 818 N Eisenhower Dr Ste B, Beckley, WV 25801. The listed phone number is (681) 238-3115.
What is Blueridge Clinic PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Blueridge Clinic PLLC enrolled in Medicare?
Yes. Blueridge Clinic PLLC is registered in the Medicare PECOS enrollment system.
When is Blueridge Clinic PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (West Virginia, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Blueridge Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Blueridge Clinic PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Blueridge Clinic PLLC accept?
Health plans from Highmark Blue Cross Blue Shield West Virginia list Blueridge Clinic PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Blueridge Clinic PLLC was last updated on November 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Blueridge Clinic Pllc · NPI 1922763051
Gastroenterology organization in Beckley, West Virginia. Organization record, active in the CMS NPPES registry since November 3, 2021.
## Identity
- **NPI:** 1922763051 (Entity type: Organization)
- **Enumerated:** November 3, 2021
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **Organization subpart:** No
- **Authorized official:** Angela Dolganiuc, PROVIDER/OWNER
## Practice location
- **Address:** 818 N EISENHOWER DR STE B, Beckley, WV 25801-3112
- **Phone:** (681) 238-3115 · **Fax:** (681) 238-6159
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, West Virginia, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 3, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1922763051) · Data from the CMS NPPES public registry.