Active NPI
Ahmad Alhariri, MD
- Internal Medicine Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 295429
- Practice address
- 11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701 - Phone
- (260) 266-2020
- NPI assigned
- Aug 16, 2010
- Last updated
- Nov 8, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 2010021662 | MO | |
| Internal Medicine Physician | 207R00000X | 01079155A | IN | |
| Internal Medicine Physician | 207R00000X | 295429 | MA | Primary |
| Hospitalist Physician | 208M00000X | 295429 | MA |
Addresses
Primary practice location
11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Mailing address
Provider Enrollment 41 Mall Road
Burlington, MA 01805-0001
Other practice location 1
315 Lehman Ave Ste C
Topeka, IN 46571-9476
Phone (260) 593-0108
Other practice location 2
1500 SW 10th Ave
Topeka, KS 66604-1301
Phone (785) 354-5242
Other practice location 3
41 Mall Rd
Burlington, MA 01805-1701
Phone (781) 744-8000
Other practice location 4
363 Highland Ave
Fall River, MA 02720-3703
Phone (508) 973-5919
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aalhariri95255@stormontvaildirect.org | Direct | COTTON O'NEIL CLINIC REVOCABLE TRUST |
| Direct Messaging Address | aalhariri95255@stormontvaildirect.org | Direct | STORMONT-VAIL HEALTHCARE INC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, PA, NH, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lahey Clinic Inc
Practice addresses (Care Compare)
29 Mall Rd
Burlington, MA 01805-0001
363 Highland Ave
Fall River, MA 02720-3703
Phone (508) 973-5919
41 Mall Rd
Burlington, MA 01805-0001
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 295429 | MA | MD | Internal Medicine Physician |
| 2010021662 | MO | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lahey Clinic, Inc | Internal Medicine | Current | Accepting new patients |
| Upmc Altoona | Current | Accepting new patients | |
| Southcoast Physicians Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Upmc Altoona | Current | Accepting new patients | |
| Lahey Clinic, Inc. | Internal Medicine | Current | Accepting new patients |
| Hospital Medicine Services of NH, LLC | Hospitalist | Current | Accepting new patients |
| Southcoast Physicians Group, Inc. | Current | Accepting new patients | |
| Southcoast Hospitals Group, Inc | Past | Accepting new patients | |
| Southcoast Hospitals Group, Inc | Past | Accepting new patients | |
| Community Health Clinic Inc | Past | Accepting new patients |
Locations
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052
534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766
101 Page St
New Bedford, MA 02740
Phone (508) 961-5425
1 Parkland Dr
Derry, NH 03038
Phone (603) 421-2220
620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011
Interoperability endpoints
- aalhariri78713@direct.southcoast.org
- aalhariri95255@stormontvaildirect.org
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Fairhaven, MA
- NPI 1336137629
Internal Medicine
-
- Hospitalist Physician
- Derry, NH
- NPI 1548967607
-
- Internal Medicine Physician
- Peabody, MA
- NPI 1063447316
-
dba Altoona Emergency Physicians
- General Acute Care Hospital
- Altoona, PA
- NPI 1497831655
-
- Orthopaedic Surgery Physician
- North Dartmouth, MA
- NPI 1902201536
-
- Ambulatory Surgical Clinic/Center
- Altoona, PA
- NPI 1114926953
-
- Clinical Genetics (M.D.) Physician
- Shipshewana, IN
- NPI 1457692972
-
dba Charlton Memorial Hospital
- General Acute Care Hospital
- Fall River, MA
- NPI 1306871223
-
dba St. Luke's Hospital
- General Acute Care Hospital
- New Bedford, MA
- NPI 1447275037
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Luke's Hospital
- General Acute Care Hospital
- New Bedford, MA
- NPI 1447275037
Inpatient rehabilitation facility
-
dba Tobey Hospital
- General Acute Care Hospital
- Wareham, MA
- NPI 1922024835
-
- Rehabilitation Hospital Unit
- Fall River, MA
- NPI 1750301636
Inpatient rehabilitation facility
-
- Community Based Hospice Care Agency
- Fairhaven, MA
- NPI 1801990452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1003121930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PROVIDER ENROLLMENT 41 MALL ROAD",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018050001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11109 PARKVIEW PLAZA DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451701",
"telephone_number": "260-266-2020"
}
],
"practiceLocations": [
{
"address_1": "315 Lehman Ave Ste C",
"address_purpose": "LOCATION",
"city": "Topeka",
"state": "IN",
"postal_code": "465719476",
"country_code": "US",
"telephone_number": "260-593-0108",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1500 SW 10th Ave",
"address_purpose": "LOCATION",
"city": "Topeka",
"state": "KS",
"postal_code": "666041301",
"country_code": "US",
"telephone_number": "785-354-5242",
"fax_number": "785-354-6349",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "41 Mall Rd",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "MA",
"postal_code": "018051701",
"country_code": "US",
"telephone_number": "781-744-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "363 Highland Ave",
"address_purpose": "LOCATION",
"city": "Fall River",
"state": "MA",
"postal_code": "027203703",
"country_code": "US",
"telephone_number": "508-973-5919",
"fax_number": "508-973-5916",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALHARIRI",
"first_name": "AHMAD",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-16",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MO",
"license": "2010021662",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01079155A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "295429",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MA",
"license": "295429",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aalhariri95255@stormontvaildirect.org",
"affiliation": "Y",
"endpointDescription": "SVH Secure messaging",
"affiliationName": "COTTON O'NEIL CLINIC REVOCABLE TRUST",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "1500 SW 10th Ave",
"city": "Topeka",
"state": "KS",
"country_code": "US",
"postal_code": "666041301",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aalhariri95255@stormontvaildirect.org",
"affiliation": "Y",
"endpointDescription": "SVH Secure messaging",
"affiliationName": "STORMONT-VAIL HEALTHCARE INC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "1500 SW 10th Ave",
"city": "Topeka",
"state": "KS",
"country_code": "US",
"postal_code": "666041301",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.