Individual provider Active NPI

Rahmet Muzaffer, MD

  • Family Medicine Physician
  • Welch, WV
National Provider Identifier
1124115829
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17733 Issued in WV
Practice address
520 Virginia Ave
Welch, WV 24801-2335
Phone
(304) 436-8400
Fax
(304) 436-8400
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 17733 WV
Family Medicine Physician 207Q00000X 17733 WV Primary

Addresses

Primary practice location

520 Virginia Ave
Welch, WV 24801-2335

Mailing address

PO Box 1012
Welch, WV 24801-1012
Phone (304) 436-8400

Other identifiers 2

IdentifierTypeStateIssuer
0D6733476MedicaidVA
0109296000MedicaidWV

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
I20240313000397 WV Practitioner - Pediatric Medicine 2769828748 Practice locations: Welch, WV

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

520 Virginia Ave
Welch, WV 24801-2335
Phone (304) 436-8400

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1124115829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1012",
            "city": "WELCH",
            "state": "WV",
            "postal_code": "248011012",
            "telephone_number": "304-436-8400",
            "fax_number": "304-436-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 VIRGINIA AVE",
            "city": "WELCH",
            "state": "WV",
            "postal_code": "248012335",
            "telephone_number": "304-436-8400",
            "fax_number": "304-436-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUZAFFER",
        "first_name": "RAHMET",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "17733",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "17733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0D6733476",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0109296000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Welch, WV

Sources for this page

Verify at the official NPI Registry.