Individual provider Active NPI

Rafka Chaiban, M.D

  • Pediatrics Physician
  • Martinsburg, WV
National Provider Identifier
1295095297
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
26435 Issued in WV
Practice address
2000 Professional CT Ste C
Martinsburg, WV 25401-8803
Phone
(304) 263-8853
NPI assigned
May 23, 2012
Last updated
Sep 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Pediatrics Physician 208000000X 26435 WV Primary

Addresses

Primary practice location

2000 Professional CT Ste C
Martinsburg, WV 25401-8803

Mailing address

2000 Professional CT Ste C
Martinsburg, WV 25401-8803
Phone (304) 263-8853

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address rchaiban17138@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address rchaiban17138@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address rchaiban17138@direct.wvuhsdirect.com Health Information Exchange (HIE)

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
I20160205001076 WV Practitioner - Pediatric Medicine 5597069948 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Jun 1, 2020 Accepting new patients
West Virginia University Medical Corporation Pediatrics Current Accepting new patients
University Healthcare Physicians Inc CurrentSince Feb 1, 2016 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jun 1, 2020 Accepting new patients
University Healthcare Physicians, Inc. Pediatrics CurrentSince Feb 1, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

116 Matthew Dr
Unit 100
Uniontown, PA 15401
Phone (724) 430-5940

2000 Foundation Way
Ste 3100
Martinsburg, WV 25401
Phone (304) 260-1436

2000 Professional Ct
Ste A
Martinsburg, WV 25401
Phone (304) 264-9837

2000 Professional Ct
Ste C
Martinsburg, WV 25401
Phone (304) 263-8853

2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

2601 Cranberry Sq
Morgantown, WV 26508
Phone (304) 285-1702

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1295095297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PROFESSIONAL CT STE C",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254018803",
            "telephone_number": "304-263-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 PROFESSIONAL CT STE C",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254018803",
            "telephone_number": "304-263-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAIBAN",
        "first_name": "RAFKA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-23",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "26435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rchaiban17138@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2000 Professional Ct Ste C",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254018803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rchaiban17138@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2000 Professional Ct Ste C",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254018803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rchaiban17138@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "116 Matthew Dr Unit 100",
            "city": "Uniontown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "154018418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.