Active NPI
Rafael G Semidei Sr., M.D.
- Psychiatry Physician
- Martinsburg, WV
National Provider Identifier
1861463739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101230396
- Practice address
- 510 Butler Ave
Martinsburg, WV 25405-9990 - Phone
- (304) 263-0811
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurodevelopmental Disabilities Physician | 2084P0005X | 200101494 | NC | |
| Psychiatry Physician | 2084P0800X | 0101230396 | VA | Primary |
Addresses
Primary practice location
510 Butler Ave
Martinsburg, WV 25405-9990
Mailing address
7415 Coulson Church Rd
Austinville, VA 24312-3361
Phone (276) 733-0637
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200101494 | NC | MD | Neurodevelopmental Disabilities Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699401600000",
"number": "1861463739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7415 COULSON CHURCH RD",
"city": "AUSTINVILLE",
"state": "VA",
"postal_code": "243123361",
"telephone_number": "276-733-0637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 BUTLER AVE",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254059990",
"telephone_number": "304-263-0811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEMIDEI",
"first_name": "RAFAEL",
"middle_name": "G",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2023-11-08",
"certification_date": "2023-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0005X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurodevelopmental Disabilities",
"state": "NC",
"license": "200101494",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101230396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martinsburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.