Individual provider Active NPI

Marcia Bohn Khalil, M.D.

  • Obstetrics & Gynecology Physician
  • Beckley, WV
National Provider Identifier
1023171089
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
11143 Issued in WV
Practice address
1731 Harper Rd
Beckley, WV 25801-3311
Phone
(304) 255-1541
Fax
(304) 253-7067
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 11143 WV Primary

Addresses

Primary practice location

1731 Harper Rd
Beckley, WV 25801-3311

Mailing address

127 Brookwood LN
Beckley, WV 25801-2303
Phone (304) 253-1223

Other identifiers 2

IdentifierTypeStateIssuer
001709417OtherWVBCBS
0094393000MedicaidWV

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
I20040318000036 WV Practitioner - Obstetrics/Gynecology 9133019680 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11143KYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Systems Inc CurrentSince Apr 1, 2003 Accepting new patients
Community Health Systems, Inc. CurrentSince Apr 1, 2003 Accepting new patients
Community Health Systems, Inc. Obstetrics & Gynecology Past Accepting new patients

Locations

302 Carriage Dr
Beckley, WV 25801
Phone (304) 250-0333

252 Rural Acres Dr
Beckley, WV 25801
Phone (304) 252-8551

390 Stanaford Rd
Beckley, WV 25801
Phone (304) 461-3320

1731 Harper Rd
Beckley, WV 25801
Phone (304) 255-1251

201 Woodcrest Dr
Beckley, WV 25801
Phone (304) 250-0272

410 Carriage Dr
Beckley, WV 25801
Phone (304) 250-0333

2157 Ritter Dr
Daniels, WV 25832
Phone (304) 461-0300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14333/brand/7/csg/1/fhir/r4
  • Direct secure messaging: marcia.khalil@wvafn.hcadirect.net

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1023171089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 BROOKWOOD LN",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012303",
            "telephone_number": "304-253-1223",
            "fax_number": "304-253-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013311",
            "telephone_number": "304-255-1541",
            "fax_number": "304-253-7067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALIL",
        "first_name": "MARCIA",
        "middle_name": "BOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WV",
            "license": "11143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001709417",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0094393000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.