Ali F Aburahma, M.D.
Individual provider Active NPI Vascular Surgery Physician · Charleston, WV
NPI 1699867598 · NPPES record last updated Aug 12, 2016
Key facts
- NPI
- 1699867598
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular Surgery Physician 2086S0129X
- License
- 10516 (WV)
- Practice address
- 3200 Maccorkle Ave SE FL 4
Charleston, WV 25304-1227 - Phone
- (304) 388-5590
- Fax
- (304) 388-8238
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 15
Medicare Care Compare profile
- Specialty
- Vascular Surgery
- Education
- Other, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Charleston Area Medical Center Inc
Practice addresses (Care Compare)
1400 Hospital Dr
Hurricane, WV 25526-9202
Phone (304) 757-1700
1836 Harper Rd
Beckley, WV 25801-3366
Phone (304) 250-0200
1838 Harper Rd
Beckley, WV 25801-3366
Phone (304) 388-9337
1844 Harper Rd
Beckley, WV 25801-3366
3200 Maccorkle Ave SE
Charleston, WV 25304-1227
Phone (304) 388-5432
3948 Teays Valley Rd
Hurricane, WV 25526-8728
400 Association Dr
Suite 102
Charleston, WV 25311-1298
415 Morris St
Charleston, WV 25301-1840
415 Morris St
Charleston, WV 25301-1853
501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-5432
800 Pennsylvania Ave
Charleston, WV 25302-3351
Phone (304) 388-5432
Hospital & facility affiliations
- Charleston Area Medical Center
- Thomas Memorial Hospital
- Boone Memorial Hospital
- Raleigh General Hospital
- Camc Plateau Medical Center, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.94 of 100
- Quality
- 69.71
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040302001167 | WV | Practitioner - Vascular Surgery |
2961399167 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10516 | WV | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Area Medical Center Inc | Current |
Accepting new patients | |
| Charleston Area Medical Center, Inc. | Current |
Accepting new patients | |
| Community Health Association | Past | Accepting new patients | |
| Charleston Area Medical Center Inc | Past | Accepting new patients | |
| Wvupc-Camc Wound Care Center | Past | Accepting new patients | |
| Charleston Area Medical Center Inc | Past | Accepting new patients |
Locations
830 Pennsylvania Ave
Charleston, WV 25302
Phone (304) 343-5735
3100 Maccorkle Ave SE
Ste 603
Charleston, WV 25304
Phone (304) 342-1077
3100 Maccorkle Ave SE
Ste 203
Charleston, WV 25304
Phone (304) 345-8820
501 Morris St
Charleston, WV 25301
Phone (304) 348-6293
3200 Maccorkle Ave SE
#C
Charleston, WV 25304
Phone (304) 347-1336
3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550
3200 Maccorkle Ave SE
Fl 4
Charleston, WV 25304
Phone (304) 388-5590
800 Pennsylvania Ave
Charleston, WV 25302
Phone (304) 388-2550
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 10516 | WV | Yes |
Addresses
Primary practice location
3200 Maccorkle Ave SE FL 4
Charleston, WV 25304-1227
Mailing address
PO Box 7000
Morgantown, WV 26507-7000
Phone (304) 347-1290
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0128106000 | Medicaid | WV | |
| 0931982 | Other | WV | MEDICARE PTAN |
Other providers in Charleston, WV
- Above & Beyond Case Management Services
- Jonathan Robert Abraham
- Deborah Absten
- Shadi J Abu-Halimah
- Omar Abulaban
- Zachary Thomas Aburahma
- Mary Ace
- Gregory Acord
- Hailie Acord
- Kayla Acord
All providers in Charleston, WV · Vascular Surgery Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.