Individual provider Active NPI

Ziad Meien Mohammad Qadadeh, MD., BCH., BAO

  • Internal Medicine Physician
  • Boston, MA
National Provider Identifier
1114611597
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
3014688 Issued in MA
Practice address
736 Cambridge Street, Brighton Ma 1St Floor Room 115
Boston, MA 02135
Phone
(617) 789-2386
NPI assigned
Jun 7, 2023
Last updated
Dec 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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 3014688 MA Primary

Addresses

Primary practice location

736 Cambridge Street, Brighton Ma 1St Floor Room 115
Boston, MA 02135

Mailing address

19 Anastas Hannah Street, Dabouq, Amman, Jordan
Amman, AMMAN 11822
JO

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
I20240617002977 MA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 9931556529

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3014688MAMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: ziad.qadadeh.1@2017.direct.athenahealth.com
  • Direct secure messaging: ziad.qadadeh.1@32866.direct.athenahealth.com
  • Direct secure messaging: zqadadeh251849@direct.bmc.masshiway.net

NPI Registry JSON

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1114611597",
    "addresses": [
        {
            "country_code": "JO",
            "country_name": "Jordan",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "19 ANASTAS HANNAH STREET, DABOUQ, AMMAN, JORDAN",
            "city": "AMMAN",
            "state": "AMMAN",
            "postal_code": "11822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 CAMBRIDGE STREET, BRIGHTON MA 1ST FLOOR ROOM 115",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02135",
            "telephone_number": "617-789-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QADADEH",
        "first_name": "ZIAD",
        "middle_name": "MEIEN MOHAMMAD",
        "name_prefix": "Mr.",
        "credential": "MD., BCH., BAO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-12-08",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "3014688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.