Individual provider Active NPI

Rafael Evencio Molina, MD

  • Obstetrics & Gynecology Physician
  • Huntington, WV
National Provider Identifier
1003896796
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
21985 Issued in WV
Practice address
1630 13TH Ave
Huntington, WV 25701-3812
Phone
(304) 697-2014
NPI assigned
Jan 19, 2006
Last updated
May 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35086645 OH
Obstetrics & Gynecology Physician 207V00000X 21985 WV Primary

Addresses

Primary practice location

1630 13TH Ave
Huntington, WV 25701-3812

Mailing address

PO Box 1680
Huntington, WV 25717-1680

Other practice location 1

2908 Auburn Rd
Huntington, WV 25704-2715
Phone (304) 781-5800

Other practice location 2

85 Donohoe Dr
Huntington, WV 25705-8887
Phone (304) 399-3310

Other identifiers 6

IdentifierTypeStateIssuer
3810001850MedicaidWV
2613578MedicaidOH
000000368678OtherOHANTHEM BC
001709560OtherWVMT. STATE
001709561OtherOHMT. STATE
64107105MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050829000571 WV Practitioner - Obstetrics/Gynecology 2860423951 Reassigns benefits to 4 organizations
I20050829000635 OH Practitioner - Obstetrics/Gynecology 2860423951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
JC Edwards School of Medicine, Marshall University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Health Systems, IncGroup PAC ID 9931017969, shared by 41 NPIs, 110 clinicians

Practice addresses (Care Compare)

1340 Hal Greer Blvd
Huntington, WV 25701-3800
Phone (304) 526-2000

1630 13TH Ave
Huntington, WV 25701-3812
Phone (304) 697-2014

2585 3Rd Ave
Huntington, WV 25703-1642

4270 US Route 60
Huntington, WV 25705-2936
Phone (304) 781-5001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35086645OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems Inc Obstetrics & Gynecology CurrentSince Jul 11, 2005 Accepting new patients
Valley Health Systems Inc Obstetrics & Gynecology CurrentSince Jul 11, 2005 Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems, Inc. CurrentSince Jul 11, 2005 Accepting new patients
Valley Health Systems, Inc. Obstetrics & Gynecology CurrentSince Dec 14, 2022 Accepting new patients
Valley Health Systems Inc Obstetrics & Gynecology CurrentSince Feb 1, 2022 Accepting new patients
Valley Health Systems Inc CurrentSince Apr 24, 2013 Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Cabell Huntington Hospital Inc Past Accepting new patients
Valley Health Systems Inc Past Accepting new patients

Locations

205 Marion Pike
Ironton, OH 45638
Phone (740) 532-1188

71 Wayne St
Fort Gay, WV 25514
Phone (304) 648-5544

1630 13th Ave
Huntington, WV 25701
Phone (304) 697-2014

2585 3rd Ave
Huntington, WV 25703
Phone (304) 697-1396

2908 Auburn Rd
Huntington, WV 25704
Phone (304) 781-5800

4270 US Route 60
Huntington, WV 25705
Phone (304) 675-5725

723 9th Ave
Huntington, WV 25701
Phone (304) 529-0645

85 Donohoe Dr
Huntington, WV 25705
Phone (304) 399-3310

Interoperability endpoints

  • Direct secure messaging: rmolina20346@valleyhealthsystems.direct-ci.com

Organizations & group practices 12

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 1

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1003896796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1680",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257171680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 13TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013812",
            "telephone_number": "304-697-2014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2908 Auburn Rd",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257042715",
            "country_code": "US",
            "telephone_number": "304-781-5800",
            "fax_number": "304-781-5804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "85 Donohoe Dr",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257058887",
            "country_code": "US",
            "telephone_number": "304-399-3310",
            "fax_number": "304-523-5416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "RAFAEL",
        "middle_name": "EVENCIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35086645",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WV",
            "license": "21985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810001850",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2613578",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC",
            "identifier": "000000368678",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MT. STATE",
            "identifier": "001709560",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MT. STATE",
            "identifier": "001709561",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64107105",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.