NPIMap

Individual provider Active NPI

Hussam Kurdi, MD

  • Internal Medicine Physician
  • Cambridge, MA
National Provider Identifier
1033596374
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101281093 Issued in VA
Practice address
1493 Cambridge St
Cambridge, MA 02139-1047
Phone
(617) 665-1580
NPI assigned
May 6, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101281093 VA Primary

Addresses

Primary practice location

1493 Cambridge St
Cambridge, MA 02139-1047

Mailing address

677 Huntington Ave # 1-1402
Boston, MA 02115-6028
Phone (617) 432-3327

Other practice location 1

57 North St
Danbury, CT 06810-5660
Phone (203) 743-0100

Other practice location 2

121 Courthouse Ln
Bowling Green, VA 22427-9336
Phone (804) 633-5840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200910001129 AL Practitioner - Internal MedicinePractitioner - Preventive Medicine 4880012665 Reassigns benefits to 2 organizations
I20240823000529 VA Practitioner - Internal Medicine 4880012665 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mary Washington Healthcare PhysiciansGroup PAC ID 2769546530, 286 clinicians

Practice addresses (Care Compare)

121 Courthouse LN
Bowling Green, VA 22427-9336
Phone (804) 633-5840

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Midlothian, VA, CCN 497538
  • James River Home Health Care LLC Home health agency, Fredericksburg, VA, CCN 497795
  • Mary Washington Home Health Agency Home health agency, Fredericksburg, VA, CCN 497272
  • Mary Washington Hospital Hospital, Fredericksburg, VA, CCN 490022
  • Stafford Hospital, LLC Hospital, Stafford, VA, CCN 490140

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Washington Healthcare Physicians CurrentSince Oct 7, 2024 Accepting new patients
Opelika Pediatrics & Family Clinic PC CurrentSince Jul 1, 2020 Accepting new patients
Pinnacle Enterprises PC CurrentSince Jul 1, 2020 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Oct 7, 2024 Accepting new patients
Mary Washington Healthcare Providers LLC CurrentSince Jan 19, 2026 Accepting new patients

Locations

2 Gilmore Rd
Fort Mitchell, AL 36856
Phone (334) 664-0463

5809 US Highway 280 E
Opelika, AL 36804
Phone (334) 664-0463

3700 S Railroad St
Ste A
Phenix City, AL 36867
Phone (334) 664-0463

121 Courthouse Ln
Bowling Green, VA 22427
Phone (804) 633-1232

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

Interoperability endpoints

  • Direct secure messaging: hkurdi124647@marywashingtonhealthcare.direct-ci.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

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": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1033596374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 HUNTINGTON AVE # 1-1402",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156028",
            "telephone_number": "617-432-3327",
            "fax_number": "617-432-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1493 CAMBRIDGE ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021391047",
            "telephone_number": "617-665-1580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "57 North St",
            "address_purpose": "LOCATION",
            "city": "Danbury",
            "state": "CT",
            "postal_code": "068105660",
            "country_code": "US",
            "telephone_number": "203-743-0100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 Courthouse Ln",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "VA",
            "postal_code": "224279336",
            "country_code": "US",
            "telephone_number": "804-633-5840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KURDI",
        "first_name": "HUSSAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-06",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101281093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.