CONSUELA J CRUDEN-PARHAM M.D.
NPI 1972784023
Obstetrics & Gynecology in Martinsburg, WV
About Consuela J Cruden-parham M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONSUELA J CRUDEN-PARHAM M.D. (NPI 1972784023) is an individual obstetrics & gynecology provider in Martinsburg, West Virginia, licensed in West Virginia (22939) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS, is affiliated with Berkeley Medical Center, and is a graduate of Baylor College Of Medicine (2003).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Consuela J Cruden-parham M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Berkeley Medical Center
Acute Care Hospitals · Martinsburg, WVJefferson Medical Center
Critical Access Hospitals · Ranson, WVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 25401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MARTINSBURG, WV 25401
MARTINSBURG, WV 25401
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Consuela Cruden-parham's NPI number?
The NPI number for Consuela Cruden-parham is 1972784023. It was assigned to this individual provider in the NPPES registry on November 16, 2007.
Where is Consuela Cruden-parham located?
Consuela Cruden-parham practices at 99 Tavern Rd, Martinsburg, WV 25401. The listed phone number is (304) 263-8964.
What is Consuela Cruden-parham's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Consuela Cruden-parham enrolled in Medicare?
Yes. Consuela Cruden-parham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Consuela Cruden-parham accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Consuela Cruden-parham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Consuela Cruden-parham affiliated with any hospitals?
According to CMS data, Consuela Cruden-parham is affiliated with Berkeley Medical Center and Jefferson Medical Center.
When was this NPI record last updated?
The NPPES record for Consuela Cruden-parham was last updated on April 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.