QUTAIBA ABDALLAH RAJI ALRADAWNEH MD
NPI 1972339034
Student in an Organized Health Care Education/Training Program in Charlottesville, VA

Active since September 13, 2024PECOS Enrolled
1215 LEE ST # 801016, CHARLOTTESVILLE, VA 22908(434) 924-2663(434) 244-4454 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Qutaiba Abdallah Raji Alradawneh Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

QUTAIBA ABDALLAH RAJI ALRADAWNEH MD (NPI 1972339034) is an individual student in an organized health care education/training program in Charlottesville, Virginia, licensed in Virginia (0116038906) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972339034
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameQUTAIBA ABDALLAH RAJI ALRADAWNEHCredential: MD
Location Address1215 LEE ST # 801016Charlottesville, VA 22908-0816
Mailing Address1215 Lee St # 801016Charlottesville, VA 22908-0816 · (434) 924-2663 · Fax (434) 244-4454
Fax(434) 244-4454
Sole ProprietorNo
Enumeration DateSeptember 13, 2024
NPPES CertifiedSeptember 13, 2024
NPI 1972339034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in VA · 0116038906
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1215 LEE ST # 801016, Charlottesville, VA 22908

Medicare Participation & PECOS Enrollment Status

Qutaiba Alradawneh is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for QUTAIBA ABDALLAH RAJI ALRADAWNEH MD

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Student in an Organized Health Care Education/Training Program
1215 LEE ST # 801016
CHARLOTTESVILLE, VA 22908
Student in an Organized Health Care Education/Training Program
1215 LEE ST # 801016
CHARLOTTESVILLE, VA 22908
Student in an Organized Health Care Education/Training Program
1215 LEE ST # 801016
CHARLOTTESVILLE, VA 22908

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972339034, enumerated as an "individual" on September 13, 2024.

The provider is located at 1215 LEE ST # 801016 CHARLOTTESVILLE, VA 22908 and the phone number is (434) 924-2663.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.