Active NPI
Ziad Meien Mohammad Qadadeh, MD., BCH., BAO
- Internal Medicine Physician
- Boston, MA
National Provider Identifier
1114611597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 3014688
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240617002977 | MA | Order and Referring Only - Internal Medicine | 9931556529 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3014688 | MA | MD | Internal Medicine Physician |
Interoperability endpoints
- ziad.qadadeh.1@2017.direct.athenahealth.com
- ziad.qadadeh.1@32866.direct.athenahealth.com
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.