Individual provider Active NPI

Aboualkheir Alzaim, MD

  • Internal Medicine Physician
  • South Weymouth, MA
National Provider Identifier
1073595260
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
50343 Issued in MA
Practice address
540 Main St
South Weymouth, MA 02190-1818
Phone
(781) 340-6420
Fax
(781) 340-6421
NPI assigned
Nov 15, 2005
Last updated
Jun 17, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 50343 MA Primary
Pulmonary Disease Physician 207RP1001X 50343 MA

Addresses

Primary practice location

540 Main St
South Weymouth, MA 02190-1818

Mailing address

91 Christina Dr
Braintree, MA 02184-8265
Phone (781) 340-6420

Other identifiers 8

IdentifierTypeStateIssuer
050343OtherMATUFTS
3150496MedicaidMA
00022617OtherBOSTON MED ETC
0020253OtherNEIGHBORHOOD HLTH
AA10005OtherHARVARD PILGRIM
J18588OtherMABCBS
Y02665OtherMAMEDICARE PTAN
290014917OtherPALMETTO GBA RAILROAD MED

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041130000562 MA Practitioner - Internal MedicinePractitioner - Pulmonary Disease 9931164142 Practice locations: Weymouth, MA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 1976
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

540 Main St
Weymouth, MA 02190-1818
Phone (781) 340-6420

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50343MAMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: aboualkheir.alzaim@aamd.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DJECBA/Endpoint/DJECBA

Hospital & facility affiliations 1

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": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1073595260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 CHRISTINA DR",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021848265",
            "telephone_number": "781-340-6420",
            "fax_number": "781-340-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 MAIN ST",
            "city": "SOUTH WEYMOUTH",
            "state": "MA",
            "postal_code": "021901818",
            "telephone_number": "781-340-6420",
            "fax_number": "781-340-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALZAIM",
        "first_name": "ABOUALKHEIR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "50343",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MA",
            "license": "50343",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "050343",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3150496",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOSTON MED ETC",
            "identifier": "00022617",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HLTH",
            "identifier": "0020253",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA10005",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J18588",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Y02665",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD MED",
            "identifier": "290014917",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Weymouth, MA

Sources for this page

Verify at the official NPI Registry.