NPIMap

Individual provider Active NPI

Nancy El-Shamaa Kaddis, M.D.

  • Internal Medicine Physician
  • Cambridge, MA
National Provider Identifier
1053554949
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
252322 Issued in MA
Practice address
1575 Cambridge St
Division of Internal Medicine
Cambridge, MA 02138-4308
Phone
(866) 600-2273
NPI assigned
Apr 8, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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 252322 MA Primary

Addresses

Primary practice location

1575 Cambridge St
Division of Internal Medicine
Cambridge, MA 02138-4308

Mailing address

101 Columbian St
South Weymouth, MA 02190-1601
Phone (616) 308-8856

Other names 1

  • Dr. Nancy Nabil El-Shamaa Former name

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
I20150714001292 MA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 3274846662 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Michigan State University College of Human Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dana-Farber Cancer Institute, Inc.Group PAC ID 9133038904, shared by 5 NPIs, 671 clinicians

Practice addresses (Care Compare)

101 Columbian St
South Weymouth, MA 02190-1601
Phone (781) 340-8000

Hospital & facility affiliations

  • Croi Health Home health agency, Norwell, MA, CCN 227241
  • Croi Health Hospice, Norwell, MA, CCN 221583
  • Dana-Farber Cancer Institute Hospital, Boston, MA, CCN 220162
  • South Shore Hospital Hospital, South Weymouth, MA, CCN 220100
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110
  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071

Merit-based Incentive Payment System (MIPS)

Final score
84.06 of 100Reported as group
Quality
65.04
Promoting interoperability
100
Improvement activities
40
Cost
69.14

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dana-Farber Cancer Institute, Inc. CurrentSince Aug 1, 2020 Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Aug 1, 2020 Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Aug 1, 2020 Accepting new patients

Locations

450 Brookline Ave
Boston, MA 02215
Phone (508) 478-2061

51 Performance Dr
Ste 110
Weymouth, MA 02189
Phone (781) 337-9091

101 Columbian St
Weymouth, MA 02190
Phone (781) 624-4800

51 Performance Dr
Weymouth, MA 02189
Phone (781) 337-5555

101 Columbian St
Fl 3
Weymouth, MA 02190
Phone (781) 624-4800

Interoperability endpoints

  • Direct secure messaging: kaddis.nancy.dfci@direct.partners.masshiway.net

Organizations & group practices 3

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 6

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": "1239148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1053554949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 COLUMBIAN ST",
            "city": "SOUTH WEYMOUTH",
            "state": "MA",
            "postal_code": "021901601",
            "telephone_number": "616-308-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 CAMBRIDGE ST",
            "address_2": "DIVISION OF INTERNAL MEDICINE",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021384308",
            "telephone_number": "866-600-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADDIS",
        "first_name": "NANCY",
        "middle_name": "EL-SHAMAA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-08",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "252322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "EL-SHAMAA",
            "middle_name": "NABIL",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.