NPIMap

Individual provider Active NPI

Ainun Haq, M.D

  • Internal Medicine Physician
  • North Grafton, MA
National Provider Identifier
1063698322
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
234297 Issued in MA
Practice address
100 Worcester St
Suite 60
North Grafton, MA 01536-1024
Phone
(508) 856-0458
Fax
(508) 839-5758
NPI assigned
Jan 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 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 234297 MA Primary

Addresses

Primary practice location

100 Worcester St
Suite 60
North Grafton, MA 01536-1024

Mailing address

PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885

Other identifiers 1

IdentifierTypeStateIssuer
30207861MedicaidNH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ahaq22835@UmassMemorial.direct-ci.com
FHIR URL https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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
I20080429000182 MA Practitioner - Internal Medicine 8729165717 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians

Practice addresses (Care Compare)

100 Worcester St
Suite 60
Grafton, MA 01519-1142
Phone (508) 839-7307

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
234297MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Umass Memorial Medical Group, Inc. CurrentSince Feb 26, 2012 Accepting new patients
Ipc Hospitalists of New England, P.C. Internal Medicine CurrentSince Oct 26, 2011 Accepting new patients
Ipc Hospitalists of New England PC Internal Medicine CurrentSince Oct 26, 2011 Accepting new patients
Umass Memorial Medical Group Inc Internal Medicine CurrentSince Feb 26, 2012 Accepting new patients
Parkland Physician Services, Inc. Past Accepting new patients
Saint Vincent Physician Services, Inc. Internal Medicine PastSince Aug 17, 2010 Accepting new patients
Parkland Physician Services Inc Past Accepting new patients

Locations

67 Union St
Natick, MA 01760
Phone (508) 383-1104

100 Worcester St
North Grafton, MA 01536
Phone (508) 839-2240

100 Worcester St
Ste 60
North Grafton, MA 01536
Phone (508) 839-7307

111 Huntoon Memorial Hwy
Rochdale, MA 01542
Phone (508) 892-4858

123 Summer St
#273
Worcester, MA 01608
Phone (508) 363-6327

123 Summer St
Worcester, MA 01608
Phone (508) 363-6000

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

Interoperability endpoints

  • Direct secure messaging: ahaq22835@umassmemorial.direct-ci.com

Organizations & group practices 7

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 5

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": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1063698322",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WORCESTER ST",
            "address_2": "SUITE 60",
            "city": "NORTH GRAFTON",
            "state": "MA",
            "postal_code": "015361024",
            "telephone_number": "508-856-0458",
            "fax_number": "508-839-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAQ",
        "first_name": "AINUN",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-17",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "234297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30207861",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahaq22835@UmassMemorial.direct-ci.com",
            "affiliation": "N",
            "address_1": "100 Worcester St",
            "address_2": "Suite 60",
            "city": "North Grafton",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015361024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "100 Worcester St",
            "address_2": "Suite 60",
            "city": "North Grafton",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015361024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Grafton, MA

Sources for this page

Verify at the official NPI Registry.