Mahmoud Samy Mohamed Abdelghany, M.D.
Individual provider Active NPI Cardiovascular Disease Physician · Springfield, MA
NPI 1134479629 · NPPES record last updated Aug 19, 2019
Key facts
- NPI
- 1134479629
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 278177 (MA)
- Practice address
- 300 Stafford St Ste 101
Springfield, MA 01104-3581 - Phone
- (413) 732-1928
- Fax
- (413) 732-0225
- NPI assigned
- Sep 12, 2012
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Interoperability endpoints
- mabdelghany@hca.gwaydirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MT201936 | PA | |
| Interventional Cardiology Physician | 207RI0011X | 278177 | MA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Cardiovascular Disease Physician | 207RC0000X | 278177 | MA | Yes |
Addresses
Primary practice location
300 Stafford St Ste 101
Springfield, MA 01104-3581
Mailing address
2 Medical Center Dr Ste 410
Springfield, MA 01107-1273
Phone (413) 748-7076
Other practice location 1
20 York St
New Haven, CT 06510
Phone (203) 688-4242
Other practice location 2
2 Medical Center Dr Ste 410
Springfield, MA 01107
Phone (413) 748-7076
Other practice location 3
2 Medical Center Dr Ste 410
Springfield, MA 01107
Phone (413) 748-7076
Other providers in Springfield, MA
- Nelson Abdala
- Sharon M Abdalla
- Mohamed Abdelazeem
- Mohamad A Abdelazeez Khaled
- Albatool Abdelghaffar
- Fatima Abdelmagid
- Nur Abdi
- Zainab S Abdi
- Mohamoud R Abdirahman
- Kristin Lee Abdow
All providers in Springfield, MA · Cardiovascular Disease Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.