Amtul Aala, MD
Individual provider Active NPI Nephrology Physician · Boston, MA
NPI 1174946347 · NPPES record last updated Aug 28, 2018
Key facts
- NPI
- 1174946347
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- 275072 (MA)
- Practice address
- 330 Brookline Ave
Boston, MA 02215 - Phone
- (617) 632-1085
- NPI assigned
- Jan 23, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc
Practice addresses (Care Compare)
330 Brookline Ave
Boston, MA 02215-5400
Phone (617) 754-8612
Hospital & facility affiliations
- Beth Israel Deaconess Medical Center
- Northeast Hospital Corporation
- Southcoast Hospitals Group
- Beth Israel Deaconess Hospital - Needham
- Beth Israel Deaconess Hospital - Milton
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180910000681 | MA | Practitioner - Nephrology | 7618283276 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP03397 | RI | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beth Israel Deaconess Medical Center, Inc. | Current |
Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current |
Accepting new patients | |
| Beth Israel Deaconess Medical Center, Inc. | Current |
Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current |
Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
110 Francis St
Ste 7
Boston, MA 02215
Phone (617) 632-9700
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000
Interoperability endpoints
- aaala253515@direct.bilh.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | LP03397 | RI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Nephrology Physician | 207RN0300X | 275072 | MA | Yes |
Addresses
Primary practice location
330 Brookline Ave
Boston, MA 02215
Mailing address
330 Brookline Ave
Boston, MA 02215-5491
Phone (617) 632-1085
Other practice location 1
593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-5445
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All providers in Boston, MA · Nephrology 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 28, 2018. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.