NPIMap

Individual provider Active NPI

Abdul Rahman Zanabli, MD

  • Nephrology Physician
  • S Charleston, WV
National Provider Identifier
1487752093
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
22697 Issued in WV
Practice address
500 Poplar St Ste 203
S Charleston, WV 25309-1472
Phone
(304) 414-2850
Fax
(304) 414-2859
NPI assigned
Sep 20, 2006
Last updated
Dec 5, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 46320 MN
Nephrology Physician 207RN0300X 22697 WV Primary

Addresses

Primary practice location

500 Poplar St Ste 203
S Charleston, WV 25309-1472

Mailing address

500 Poplar St Ste 203
S Charleston, WV 25309-1472
Phone (304) 414-2850

Other identifiers 2

IdentifierTypeStateIssuer
001953136OtherWVBC BS
3810009213MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070808000386 WV Practitioner - Other (Physician)Practitioner - Internal MedicinePractitioner - Nephrology 3072410992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Undefined Physician Type (Specify)Also: Internal Medicine, Nephrology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Charleston Nephrology Hypertension and Transplant PLLCGroup PAC ID 0042301814, 6 clinicians

Practice addresses (Care Compare)

401 6TH Ave
Montgomery, WV 25136-2116
Phone (304) 400-4700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: azanabli24349@direct.acumenmd.com

Organizations & group practices 1

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 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1487752093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 POPLAR ST STE 203",
            "city": "S CHARLESTON",
            "state": "WV",
            "postal_code": "253091472",
            "telephone_number": "304-414-2850",
            "fax_number": "304-414-2859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 POPLAR ST STE 203",
            "city": "S CHARLESTON",
            "state": "WV",
            "postal_code": "253091472",
            "telephone_number": "304-414-2850",
            "fax_number": "304-414-2859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANABLI",
        "first_name": "ABDUL",
        "middle_name": "RAHMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "46320",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WV",
            "license": "22697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "001953136",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810009213",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in S Charleston, WV

Sources for this page

Verify at the official NPI Registry.