Active NPI
Alaa M. Elrefai, M.D.
- Psychiatry Physician
- Worcester, MA
National Provider Identifier
1043262694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 52005
- Practice address
- 26 Queen St
Worcester, MA 01610 - Phone
- (508) 334-2670
- Fax
- (508) 334-2781
- NPI assigned
- May 16, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 52005 | MA | Primary |
Addresses
Primary practice location
26 Queen St
Worcester, MA 01610
Mailing address
PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885
Other practice location 1
1093 N Main St
Randolph, MA 02368-2100
Phone (781) 963-7775
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002546301 | Other | MA | PTAN |
| 110046788A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alaa M. Elrefai, MD, PC | Psychiatry | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychiatry Physician
- Birmingham, AL
- NPI 1720272735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538092800000",
"number": "1043262694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 415348",
"city": "BOSTON",
"state": "MA",
"postal_code": "022415348",
"telephone_number": "800-225-8885",
"fax_number": "508-334-1977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 QUEEN ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01610",
"telephone_number": "508-334-2670",
"fax_number": "508-334-2781"
}
],
"practiceLocations": [
{
"address_1": "1093 N Main St",
"address_purpose": "LOCATION",
"city": "Randolph",
"state": "MA",
"postal_code": "023682100",
"country_code": "US",
"telephone_number": "781-963-7775",
"fax_number": "781-963-7776",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELREFAI",
"first_name": "ALAA",
"middle_name": "M.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2018-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "52005",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "002546301",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110046788A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.