Individual provider Active NPI

Rabina Malik-Hamirani, MD

  • Internal Medicine Physician
  • Vienna, WV
National Provider Identifier
1831159896
Registry record updated Jun 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25689 Issued in WV
Practice address
800 Grand Central Mall
Suite 9
Vienna, WV 26105-4100
Phone
(304) 834-3970
Fax
(304) 916-1871
NPI assigned
Mar 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2014

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 D0063501 MD
Internal Medicine Physician 207R00000X 25689 WV Primary

Addresses

Primary practice location

800 Grand Central Mall
Suite 9
Vienna, WV 26105-4100

Mailing address

800 Grand Central Mall
Suite 9
Vienna, WV 26105-4100
Phone (410) 368-8640

Other identifiers 3

IdentifierTypeStateIssuer
KV0864710701OtherMDCAREFIRST
409077200MedicaidMD
W6200064OtherDCCAREFIRST

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
I20141117001140 WV Practitioner - Family PracticePractitioner - Internal Medicine 3678590957 Reassigns benefits to 1 organization
Practice locations: Vienna, WV

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Ohio Valley Nephrology AssociationGroup PAC ID 8224056445, 2 clinicians

Practice addresses (Care Compare)

800 Grand Central Mall
Suite 9
Vienna, WV 26105-4100
Phone (304) 834-3970

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0063501MDMDInternal Medicine Physician
25689WVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Ohio Valley Nephrology Association CurrentSince Mar 1, 2015 Accepting new patients

Locations

800 Grand Central Mall
Ste 9
Vienna, WV 26105
Phone (304) 834-3970

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402012800000",
    "number": "1831159896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 GRAND CENTRAL MALL",
            "address_2": "SUITE 9",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261054100",
            "telephone_number": "410-368-8640",
            "fax_number": "304-916-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 GRAND CENTRAL MALL",
            "address_2": "SUITE 9",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261054100",
            "telephone_number": "304-834-3970",
            "fax_number": "304-916-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK-HAMIRANI",
        "first_name": "RABINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2014-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0063501",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "25689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "KV0864710701",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409077200",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "W6200064",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, WV

Sources for this page

Verify at the official NPI Registry.