Active NPI
Tatiana Anna Hamawi, M.D.
- Pediatrics Physician
- Worcester, MA
National Provider Identifier
1134101751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 152836
- Practice address
- 111 Elm St
Suite 201
Worcester, MA 01609-1967 - Phone
- (508) 753-7700
- NPI assigned
- Nov 18, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 152836 | MA | |
| Pediatrics Physician | 208000000X | 152836 | MA | Primary |
Addresses
Primary practice location
111 Elm St
Suite 201
Worcester, MA 01609-1967
Mailing address
111 Elm St
Suite 201
Worcester, MA 01609-1967
Phone (508) 753-7700
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 691751 | Other | MA | HARVARD PILGRIM |
| 790850 | Other | MA | TUFTS HEALTH PLAN |
| 3188302 | Medicaid | MA | |
| 8197992 | Other | MA | CIGNA |
| J19405 | Other | MA | BLUE CROSS BLUE SHIELD |
| 2670728 | Other | MA | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2023 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 152836 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tatiana Hamawi, Dba Alpha-Omega Medical Care | Internal Medicine | Current | Accepting new patients |
Locations
111 Elm St
Ste 201
Worcester, MA 01609
Phone (508) 556-1072
Interoperability endpoints
- tatiana.hamawi@849904498835460.direct.elationemr.com
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Worcester, MA
- NPI 1275653016
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367884800000",
"number": "1134101751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 ELM ST",
"address_2": "SUITE 201",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016091967",
"telephone_number": "508-753-7700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 ELM ST",
"address_2": "SUITE 201",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016091967",
"telephone_number": "508-753-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMAWI",
"first_name": "TATIANA",
"middle_name": "ANNA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-18",
"last_updated": "2013-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "152836",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "152836",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "691751",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "790850",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3188302",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8197992",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "J19405",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2670728",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.