KEVIN L. EGGLESTON MD – NPI #1720200744
Internal Medicine

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

KEVIN EGGLESTON is a physician located in SOUTH CHARLESTON, WV. NPPES has assigned the NPI number 1720200744 to KEVIN EGGLESTON on May 02, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0200X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Critical Care Medicine

The NPI profile was previously updated about 5 years ago on Mar 16, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KEVIN EGGLESTON below.

NPI Profile for
KEVIN L. EGGLESTON

NPI Number
1720200744
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KEVIN L. EGGLESTON
Credentials
MD
Primary location
4619 KANAWHA AVE., SW
SOUTH CHARLESTON, WV 25309
Phone: (304) 400-4545 Fax: (304) 400-4546
3 Other location(s):
3200 MacCorkle Ave SE
Charleston, WV 25304-1227
Phone: (304) 388-5432
4605 MacCorkle Ave SW
South Charleston, WV 25309-1311
Phone: (304) 766-3583
200 Hospital Dr
Spencer, WV 25276-1050
Phone: (304) 927-6822
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Nov 30, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for KEVIN EGGLESTON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNC7617007
MEDICAIDWV3810009299
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0200X
- Internal Medicine / Critical Care Medicine (Primary)
WV 21056
207RS0012X
- Internal Medicine / Sleep Medicine
WV 21056
207RP1001X
- Internal Medicine / Pulmonary Disease
WV 21056

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE - Graduated 2006
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
KEVIN EGGLESTON is affiliated with the following medical group(s):
  • HOSPITAL
    • CHARLESTON AREA MEDICAL CENTER
      501 MORRIS STREET
      CHARLESTON, WV 25301
    • LOGAN REGIONAL MEDICAL CENTER
      20 HOSPITAL DRIVE
      LOGAN, WV 25601
    • THOMAS MEMORIAL HOSPITAL
      4605 MACCORKLE AVENUE SW
      SOUTH CHARLESTON, WV 25309

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.