Individual provider Active NPI

Maryam Jafary Rana, PA

  • Physician Assistant
  • Beckley, WV
National Provider Identifier
1457692535
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0171 Issued in WV
Practice address
425 Stanaford Rd
Beckley, WV 25801-3145
Phone
(304) 222-5817
NPI assigned
Mar 14, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner Physician 202C00000X 01717 WV
Emergency Medicine Physician 207P00000X 01717 WV
Internal Medicine Physician 207R00000X 01717 WV
Physician Assistant 363A00000X 0171 WV Primary
Psychiatry Physician 2084P0800X 01717 WV

Addresses

Primary practice location

425 Stanaford Rd
Beckley, WV 25801-3145

Mailing address

56 Osprey Rd
Beckley, WV 25801-3684
Phone (304) 222-5817

Other names 1

  • Mrs. Maryam Jafar Rana Other name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131108001409 WV Practitioner - Physician Assistant 5890920342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Appalachianwellness Clinic IncGroup PAC ID 4183984941, 2 clinicians

Practice addresses (Care Compare)

425 Stanaford Rd
Beckley, WV 25801-3145
Phone (681) 222-8340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1717WVMDProfessional Counselor
01717WVMDInternal Medicine Physician
0171WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachianwellness Clinic Inc Internal Medicine CurrentSince Mar 12, 2023 Accepting new patients
Ges Hospitalist Services Inc Internal Medicine Past Accepting new patients

Locations

425 Stanaford Rd
Beckley, WV 25801
Phone (304) 222-5817

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17772/brand/1/csg/1/fhir/r4

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": "1363219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1457692535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 OSPREY RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013684",
            "telephone_number": "304-222-5817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 STANAFORD RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013145",
            "telephone_number": "304-222-5817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANA",
        "first_name": "MARYAM",
        "middle_name": "JAFARY",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-14",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202C00000X",
            "taxonomy_group": "",
            "desc": "Independent Medical Examiner",
            "state": "WV",
            "license": "01717",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "01717",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "01717",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "0171",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WV",
            "license": "01717",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARYAM",
            "last_name": "RANA",
            "middle_name": "JAFAR",
            "prefix": "MRS.",
            "credential": "PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.