Organization Active NPI

Drum Hill Primary Care LLC

  • Family Medicine Physician
  • Chelmsford, MA
National Provider Identifier
1144497256
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
158508 Issued in MA
Legal business name
DRUM HILL PRIMARY CARE LLC
Practice address
4 Courthouse Lane, Suite 1-3
Chelmsford, MA 01824-1738
Phone
(978) 452-0052
NPI assigned
May 8, 2008
Last updated
Mar 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Authorized official

Name
Dr. Ghazala Alam, MDNPI 1225007313
Title
Owner
Phone
(978) 452-0052

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 158508 MA Primary

Addresses

Primary practice location

4 Courthouse Lane, Suite 1-3
Chelmsford, MA 01824-1738

Mailing address

4 Courthouse Lane, Suite 1-3
Chelmsford, MA 01824-1738
Phone (978) 452-0052

Other identifiers 8

IdentifierTypeStateIssuer
B10379801OtherMACIGNA
M17731OtherMABLUE CROSS BLUE SHIELD MASSACHUSETTS
43543OtherMAFALLON
0101172OtherMAUNITED HEALTHCARE
158508OtherMATUFTS
3201449MedicaidMA
710744OtherMAHARVARD PILGRIM
5324329OtherMAAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120803000105 MA Part B Supplier - Clinic/Group Practice 3577719772 Receives reassigned benefits from 1 practitioner
Practice locations: Chelmsford, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0969238Drum Hill Primary Care4 Courthouse Lane, Chelmsford, MA 01824Provider-performed microscopyJan 6, 2028

National Provider Directory

National Provider Directory

Locations

4 Courthouse Ln
Ste 13
Chelmsford, MA 01824
Phone (978) 452-0052

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1144497256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 COURTHOUSE LANE, SUITE 1-3",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018241738",
            "telephone_number": "978-452-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 COURTHOUSE LANE, SUITE 1-3",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018241738",
            "telephone_number": "978-452-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRUM HILL PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "ALAM",
        "authorized_official_first_name": "GHAZALA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-452-0052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "158508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "B10379801",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MASSACHUSETTS",
            "identifier": "M17731",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "43543",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0101172",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "158508",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3201449",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "710744",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5324329",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.