Active NPI
Ahmad Mahmoud Alkashash
- Anatomic Pathology & Clinical Pathology Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 1018736
- Practice address
- 55 Fruit St
Boston, MA 02114-2621 - Phone
- (617) 726-6716
- NPI assigned
- Apr 15, 2020
- Last updated
- Sep 13, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 1018736 | MA | Primary |
Addresses
Primary practice location
55 Fruit St
Boston, MA 02114-2621
Mailing address
350 W 11TH St RM 4083
Indianapolis, IN 46202-4108
Phone (317) 274-2476
Other practice location 1
350 W 11th St Rm 4083
Indianapolis, IN 46202-4108
Phone (317) 274-2476
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Indiana University School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2560 N Shadeland Ave
Suite a
Indianapolis, IN 46219-1706
Phone (317) 275-8072
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1018736 | MA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The General Hospital Corporation | Current | Accepting new patients | |
| Ameripath Indianapolis PC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Massachusetts General Physicians Organization Inc | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Ameripath Indianapolis PC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Major Hospital | Past | Accepting new patients |
Locations
13179 Collection Ctr Dr
Chicago, IL 60693
2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617
2560 N Shadeland Ave
Ste A
Indianapolis, IN 46219
Phone (317) 275-8072
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
62 13th St
Charlestown, MA 02129
Phone (617) 724-3874
14275 Midway Rd
Ste 400
Addison, TX 75001
Phone (214) 932-8018
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Indianapolis, IN
- NPI 1942374517
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Anatomic Pathology & Clinical Pathology
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- Anatomic Pathology & Clinical Pathology Physician
- Rolla, MO
- NPI 1053102004
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1619163854
-
dba Community Hospital South
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1235109778
-
dba Ascension St. Vincent Anderson
- General Acute Care Hospital
- Anderson, IN
- NPI 1679578850
-
dba Ascension St. Vincent Carmel
- General Acute Care Hospital
- Carmel, IN
- NPI 1639124134
-
dba Ascension St. Vincent Hospital
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1306898960
-
dba Ascension St. Vincent - Avon
- General Acute Care Hospital
- Avon, IN
- NPI 1851833230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726185600000",
"number": "1053930487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 W 11TH ST RM 4083",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462024108",
"telephone_number": "317-274-2476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142621",
"telephone_number": "617-726-6716"
}
],
"practiceLocations": [
{
"address_1": "350 W 11th St Rm 4083",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462024108",
"country_code": "US",
"telephone_number": "317-274-2476",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALKASHASH",
"first_name": "AHMAD",
"middle_name": "MAHMOUD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-15",
"last_updated": "2024-09-13",
"certification_date": "2024-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MA",
"license": "1018736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.