Individual provider Active NPI

Ahmed Hany Baioumy

  • General Practice Dentistry
  • Boston, MA
National Provider Identifier
1144920869
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1859966 Issued in MA
Practice address
635 Albany St
Boston, MA 02118-3550
Phone
(617) 358-8777
NPI assigned
Mar 9, 2023
Last updated
Mar 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS12352 TN
General Practice Dentistry 1223G0001X DN1859966 MA Primary

Addresses

Primary practice location

635 Albany St
Boston, MA 02118-3550

Mailing address

15 Harbor Point Blvd Apt 107
Dorchester, MA 02125-3204
Phone (901) 428-1838

Other practice location 1

494 North Ave
Weston, MA 02493-1806
Phone (781) 893-1079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN1859966MAMDGeneral Practice Dentistry
DS12352TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Practice of Family and Cosmetic Dentistry LLP PastSince Sep 1, 2023 Accepting new patients
Marc F Rubin DMD PC General Practice PastSince Sep 1, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1144920869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HARBOR POINT BLVD APT 107",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021253204",
            "telephone_number": "901-428-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 ALBANY ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021183550",
            "telephone_number": "617-358-8777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "494 North Ave",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "MA",
            "postal_code": "024931806",
            "country_code": "US",
            "telephone_number": "781-893-1079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAIOUMY",
        "first_name": "AHMED",
        "middle_name": "HANY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-09",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS12352",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1859966",
            "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 Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.