NPIMap

Individual provider Active NPI

Mustafa Rahim, M.D.

  • Internal Medicine Physician
  • Beckley, WV
National Provider Identifier
1831289891
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18191 Issued in WV
Practice address
250 Stanaford Rd
Suite 210
Beckley, WV 25801-3140
Phone
(304) 256-6500
Fax
(304) 254-2759
NPI assigned
Oct 13, 2006
Last updated
Oct 17, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 18191 WV Primary

Addresses

Primary practice location

250 Stanaford Rd
Suite 210
Beckley, WV 25801-3140

Mailing address

PO Box 964
Beckley, WV 25802-0964
Phone (304) 256-6500

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
I20050325000395 WV Practitioner - Internal Medicine 0244286300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

321 S Eisenhower Dr
Beckley, WV 25801-5849
Phone (304) 256-6500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.4 of 100Reported as group
Quality
69.8
Improvement activities
40
Cost
88.27

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mustafa Rahim MD Inc Internal Medicine CurrentSince Jul 1, 2005 Accepting new patients
Jackie Withrow Wva Facility Operations LLC Past Accepting new patients
1631 Ritter Drive Operations LLC Past Accepting new patients
Heartland Leasing Co., LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Appalachian Regional Healthcare, Inc Past Accepting new patients
State of West Virginia Past Accepting new patients
Raleigh General Hospital LLC Past Accepting new patients
Sunbridge Beckley Health Care LLC Past Accepting new patients

Locations

250 Stanaford Rd
Beckley, WV 25801
Phone (304) 252-7331

250 Stanaford Rd
Ste 210
Beckley, WV 25801
Phone (304) 254-2618

321 S Eisenhower Dr
Beckley, WV 25801
Phone (304) 255-6121

Interoperability endpoints

  • Direct secure messaging: mustafa.rahim@wvafn.hcadirect.net

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Raleigh CenterDaniels, WV, CCN 515088 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 1, 2024
Jun 1, 2024
Pine LodgeBeckley, WV, CCN 515001 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 1, 2024
Apr 1, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413504000000",
    "number": "1831289891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 964",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258020964",
            "telephone_number": "304-256-6500",
            "fax_number": "304-254-2759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 STANAFORD RD",
            "address_2": "SUITE 210",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013140",
            "telephone_number": "304-256-6500",
            "fax_number": "304-254-2759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHIM",
        "first_name": "MUSTAFA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2014-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "18191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.