NPIMap

Individual provider Active NPI

Rabah Boukhemis, MD

  • Physical Medicine & Rehabilitation Physician
  • Huntington, WV
National Provider Identifier
1619937265
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
16136 Issued in WV
Practice address
1600 Medical Center Dr
Suite 1500
Huntington, WV 25701-3656
Phone
(304) 691-1100
Fax
(304) 736-5768
NPI assigned
Mar 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 16136 WV Primary

Addresses

Primary practice location

1600 Medical Center Dr
Suite 1500
Huntington, WV 25701-3656

Mailing address

1600 Medical Center Dr
Suite 1500
Huntington, WV 25701-3656
Phone (304) 691-1100

Other practice location 1

6900 Country Club Dr
Huntington, WV 25705-2000
Phone (304) 733-1060

Other identifiers 3

IdentifierTypeStateIssuer
0802206MedicaidOH
0042878000MedicaidWV
64697998MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rabah.boukhemis@marshall.cernerdirect.com

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
I20051227000381 WV Practitioner - Physical Medicine and Rehabilitation 0941222400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1600 Medical Ctr Dr
Huntington, WV 25701-3655

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16136WVMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians & Surgeons, Inc. CurrentSince Oct 1, 1988 Accepting new patients
University Physicians & Surgeons, Inc CurrentSince Oct 1, 1988 Accepting new patients
University Physicians & Surgeons, Inc. Past Accepting new patients
St of WV Div of Rehabilitation Services Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1600 Medical Center Dr
Ste 15
Huntington, WV 25701

1600 Medical Center Dr
Huntington, WV 25701
Phone (304) 691-1100

1600 Medical Center Dr
#B51
Huntington, WV 25701
Phone (304) 691-8850

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

1600 Medical Center Dr
Ste 1500
Huntington, WV 25701
Phone (304) 691-1100

1249 15th St
#4093
Huntington, WV 25701

Organizations & group practices 5

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1619937265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER DR",
            "address_2": "SUITE 1500",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013656",
            "telephone_number": "304-691-1100",
            "fax_number": "304-691-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER DR",
            "address_2": "SUITE 1500",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013656",
            "telephone_number": "304-691-1100",
            "fax_number": "304-736-5768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6900 Country Club Dr",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257052000",
            "country_code": "US",
            "telephone_number": "304-733-1060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUKHEMIS",
        "first_name": "RABAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WV",
            "license": "16136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0802206",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0042878000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64697998",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rabah.boukhemis@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1600 Medical Center Dr",
            "address_2": "Suite 1500",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257013656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.