Individual provider Active NPI

Mohammed Adnan D Ashour, MD

  • Student in an Organized Health Care Education/Training Program
  • Boston, MA
National Provider Identifier
1093474397
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
300 Longwood Ave # Fegan9
Boston, MA 02115-5724
Phone
(617) 355-2413
Fax
(617) 730-0463
NPI assigned
Dec 14, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

300 Longwood Ave # Fegan9
Boston, MA 02115-5724

Mailing address

1700 Rene Levesque
Apt 705
Montreal, QUEBEC H3H2V1
CA

Other practice location 1

1001 Decarie Bolouvard
Montreal Children's Hospital, Neurology Department
Montreal, QC H4A 3J1
CA
Phone (514) 412-4446

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mohammed.ashour2@mail.mcgill.ca Direct

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)
Not enrolled
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: mashour252521@direct.bilh.masshiway.net
  • Direct secure messaging: mashour35125@direct.bostonchildrens.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1093474397",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "1700 RENE LEVESQUE",
            "address_2": "APT 705",
            "city": "MONTREAL",
            "state": "QUEBEC",
            "postal_code": "H3H2V1"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LONGWOOD AVE # FEGAN9",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155724",
            "telephone_number": "617-355-2413",
            "fax_number": "617-730-0463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Decarie Bolouvard",
            "address_2": "Montreal Children's Hospital, Neurology Department",
            "address_purpose": "LOCATION",
            "city": "Montreal",
            "state": "QC",
            "postal_code": "H4A 3J1",
            "country_code": "CA",
            "telephone_number": "514-412-4446",
            "fax_number": "514-412-4373",
            "country_name": "Canada",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "last_name": "ASHOUR",
        "first_name": "MOHAMMED",
        "middle_name": "ADNAN D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mohammed.ashour2@mail.mcgill.ca",
            "affiliation": "N",
            "endpointDescription": "Organization Personal Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1001 Decarie Bolouvard",
            "address_2": "Montreal Children's Hospital, Neurology Department",
            "city": "Montreal",
            "state": "QC",
            "country_code": "CA",
            "postal_code": "H4A 3J1",
            "country_name": "Canada",
            "address_type": "FGN"
        }
    ],
    "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 Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.