NPIMap

Individual provider Active NPI

Alain Albert Chaoui, MD

  • Family Medicine Physician
  • Peabody, MA
National Provider Identifier
1023064789
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
80963 Issued in MA
Practice address
1 Roosevelt Ave
Suite 201
Peabody, MA 01960-2200
Phone
(978) 536-0215
Fax
(978) 536-0230
NPI assigned
May 25, 2006
Last updated
May 24, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 80963 MA Primary

Addresses

Primary practice location

1 Roosevelt Ave
Suite 201
Peabody, MA 01960-2200

Mailing address

PO Box 380
Boxford, MA 01921-0380
Phone (978) 536-0215

Other identifiers 1

IdentifierTypeStateIssuer
3138461MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050810000657 MA Practitioner - Family Practice 7719916725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Congenial Healthcare LLCGroup PAC ID 5395011522, 12 clinicians

Practice addresses (Care Compare)

1 Roosevelt Ave
Suite 201
Peabody, MA 01960-2227
Phone (978) 536-0215

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Congenial Healthcare, LLC Family Medicine CurrentSince Oct 1, 2017 Accepting new patients
Congenial Healthcare, LLC Current Accepting new patients
Congenial Healthcare, LLC Past Accepting new patients

Locations

1 Roosevelt Ave
Ste 201
Peabody, MA 01960
Phone (978) 536-0215

Interoperability endpoints

  • Direct secure messaging: achaoui22847@direct.bilh.masshiway.net

Organizations & group practices 5

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337817600000",
    "number": "1023064789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 380",
            "city": "BOXFORD",
            "state": "MA",
            "postal_code": "019210380",
            "telephone_number": "978-536-0215",
            "fax_number": "978-536-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ROOSEVELT AVE",
            "address_2": "SUITE 201",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602200",
            "telephone_number": "978-536-0215",
            "fax_number": "978-536-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAOUI",
        "first_name": "ALAIN",
        "middle_name": "ALBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2012-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "80963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3138461",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

Verify at the official NPI Registry.