Active NPI
Ali A Rahimian, MD
- Obstetrics & Gynecology Physician
- Clarksburg, WV
National Provider Identifier
1841273216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 11608
- Practice address
- 300 Davisson Run Rd
Suite 203
Clarksburg, WV 26301-9304 - Phone
- (304) 622-1264
- Fax
- (304) 622-0204
- NPI assigned
- Nov 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 11608 | WV | Primary |
Addresses
Primary practice location
300 Davisson Run Rd
Suite 203
Clarksburg, WV 26301-9304
Mailing address
PO Box 2308
Clarksburg, WV 26302-2308
Phone (304) 622-1264
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 245004 | Other | WV | CARELINK/COVENTRY |
| WV11608D | Other | WV | HEALTH PLAN # |
| 5116317 | Other | WV | ALLIANCE PROVIDER # |
| 0094094000 | Medicaid | WV | |
| 5116317 | Other | WV | MAMSI PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199404800000",
"number": "1841273216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2308",
"city": "CLARKSBURG",
"state": "WV",
"postal_code": "263022308",
"telephone_number": "304-622-1264",
"fax_number": "304-622-0204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 DAVISSON RUN RD",
"address_2": "SUITE 203",
"city": "CLARKSBURG",
"state": "WV",
"postal_code": "263019304",
"telephone_number": "304-622-1264",
"fax_number": "304-622-0204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAHIMIAN",
"first_name": "ALI",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-21",
"last_updated": "2008-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WV",
"license": "11608",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARELINK/COVENTRY",
"identifier": "245004",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLAN #",
"identifier": "WV11608D",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIANCE PROVIDER #",
"identifier": "5116317",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0094094000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI PROVIDER #",
"identifier": "5116317",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clarksburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.