Mustafa Rahim, M.D.
Individual provider Active NPI Internal Medicine Physician · Beckley, WV
NPI 1831289891 · NPPES record last updated Oct 17, 2014
Key facts
- NPI
- 1831289891
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 18191 (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
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
Hospital & facility affiliations 22
Owned or controlled facilities with NPI records 2
Medicare Care Compare profile
- 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
- Centerwell Home Health
- Amedisys Home Health of West Virginia
- PCH Home Health
- Hospice of Southern West Virginia, Inc
- Raleigh General Hospital
- Beckley Arh Hospital
- Summers County Arh Hospital
- Charleston Area Medical Center
- Thomas Memorial Hospital
- Raleigh Center
- Pine Lodge
- Beckley Healthcare Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.4 of 100
- Quality
- 69.8
- Improvement activities
- 40
- Cost
- 88.27
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
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Raleigh Center |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jun 1, 2024 Jun 1, 2024 |
| Pine Lodge |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Apr 1, 2024 Apr 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050325000395 | WV | Practitioner - Internal Medicine | 0244286300 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18191 | WV | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mustafa Rahim MD Inc | Internal Medicine | Current |
Accepting new patients |
| Raleigh General Hospital LLC | Past | Accepting new patients | |
| Sunbridge Beckley Health Care LLC | Past | Accepting new patients | |
| State of West Virginia | Past | 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 |
Locations
321 S Eisenhower Dr
Beckley, WV 25801
Phone (304) 255-6121
250 Stanaford Rd
Ste 210
Beckley, WV 25801
Phone (304) 254-2618
250 Stanaford Rd
Beckley, WV 25801
Phone (304) 252-7331
Interoperability endpoints
- mustafa.rahim@wvafn.hcadirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 18191 | WV | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0078353000 | Medicaid | WV | |
| 1750405346 | Medicaid | WV |
Other providers in Beckley, WV
- Kristen Michelle Quinn
- R.C. Jereza M.D., Inc.
- Kayla Radford
- Tammy Lynn Radford
- Michelle Ragland
- Kumar Rai
- David M Rainey
- Karen K Rainey
- Divya S. Rajan
- Sudhir Rajaure
All providers in Beckley, WV · Internal Medicine 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 Oct 17, 2014. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- 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.