Active NPI
Khaled Hammoud, M.D.
- Diagnostic Radiology Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 267691
- Practice address
- 800 Washington St
Boston, MA 02111-1552 - Phone
- (617) 636-0067
- NPI assigned
- Jun 24, 2013
- Last updated
- Jan 31, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 267691 | MA | Primary |
Addresses
Primary practice location
800 Washington St
Boston, MA 02111-1552
Mailing address
99 Brookline St Unit 3
Cambridge, MA 02139-4543
Other practice location 1
268 W Saginaw St
Unit 302
East Lansing, MI 48823-2601
Phone (810) 874-9436
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, MI, IL, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Tufts University School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Genesys Pkwy
Grand Blanc, MI 48439-8065
Phone (833) 364-7790
1096 S Belsay Rd
Suite G
Burton, MI 48509-1948
Phone (810) 743-1611
2525 S Michigan Ave
Chicago, IL 60616-2315
Phone (708) 382-1498
4800 S Saginaw St
Suite 1800
Flint, MI 48507-2677
Phone 8107329333116
529 Misty Morning Dr
Flushing, MI 48433-2195
Phone (833) 364-7790
826 W King St
Owosso, MI 48867-2120
Phone (833) 364-7790
900 Cooper Ave
Saginaw, MI 48602-5182
Phone (833) 364-7790
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 267691 | MA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Art of Radiology Imaging Associates, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Henry Ford Medical Group Genesys | Current | Accepting new patients | |
| Jawad a Shah MD PC | Current | Accepting new patients | |
| Community Health Center of Branch County | Current | Accepting new patients | |
| Insight Chicago, Inc. | Current | Accepting new patients | |
| Pratt Radiology Associates, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Henry Ford Medical Group Genesys | Diagnostic Radiology | Current | Accepting new patients |
| Community Health Center of Branch County | Current | Accepting new patients | |
| Memorial Hospital | Current | Accepting new patients | |
| Regio T Penna MD, PC | Current | Accepting new patients | |
| Insight Foundation of Trumbull | Diagnostic Radiology | Current | Accepting new patients |
| Community Health Center of Branch County | Current | Accepting new patients | |
| CT Center of Flint, PLLC | Current | Accepting new patients | |
| Henry Ford Medical Group Genesys | Current | Accepting new patients | |
| Community Health Center of Branch County | Current | Accepting new patients | |
| Memorial Hospital | Current | Accepting new patients | |
| Prime Radiology Consultants P.C. | Diagnostic Radiology | Current | Accepting new patients |
| Insight Foundation of Trumbull | Current | Accepting new patients | |
| Basha Diagnostics P C | Diagnostic Radiology | Current | Accepting new patients |
| Complete Health Systems Inc | Current | Accepting new patients | |
| Prime Radiology Consultants P.C. | Diagnostic Radiology | Current | Accepting new patients |
| TMC Radiology Cra LLC | Diagnostic Radiology | Current | Accepting new patients |
| Insight Chicago, Inc. | Current | Accepting new patients | |
| Jawad a Shah, MD PC | Diagnostic Radiology | Current | Accepting new patients |
| Genesys Integrated Group Practice PC | Past | Accepting new patients | |
| Great Lakes Teleradiology Ventures LLC | Past | Accepting new patients |
Locations
2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153
800 Washington St
Boston, MA 02111
Phone (617) 636-4800
4154 W Vienna Rd
Clio, MI 48420
Phone (810) 686-3747
274 E Chicago St
Coldwater, MI 49036
Phone (517) 279-5400
1096 S Belsay Rd
Ste G
Flint, MI 48509
Phone (810) 743-1611
1165 S Linden Rd
#B
Flint, MI 48532
Phone (810) 600-6300
2184 S Ballenger Hwy
Flint, MI 48503
Phone (810) 232-5627
4800 S Saginaw St
Flint, MI 48507
Phone (810) 275-9108
4800 S Saginaw St
Ste 1650
Flint, MI 48507
Phone (810) 275-9688
4800 S Saginaw St
Ste 1800
Flint, MI 48507
Phone (810) 732-8336
4800 S Saginaw St
Ste 1805
Flint, MI 48507
Phone (810) 275-9108
4800 S Saginaw St
Ste 1815
Flint, MI 48507
Phone (810) 275-9152
10785 S Saginaw St
Ste D
Grand Blanc, MI 48439
Phone (810) 695-6337
826 W King St
Owosso, MI 48867
Phone (989) 720-2273
3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004
30701 Woodward Ave
Ste Ll
Royal Oak, MI 48073
Phone (248) 288-1600
800 S Washington Ave
Saginaw, MI 48601
Phone (989) 776-8000
900 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6122
200 Hemlock St
Tawas City, MI 48763
Phone (989) 362-0153
1350 E Market St
Warren, OH 44483
Phone (330) 841-5969
Organizations & group practices 28
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.
-
- Family Medicine Physician
- Burton, MI
- NPI 1598248718
-
dba Insight Hospital & Medical Center Chicago
- Internal Medicine Physician
- Chicago, IL
- NPI 1881261006
-
- Diagnostic Radiology Physician
- Owosso, MI
- NPI 1811723679
-
dba Pratt Associates
- Diagnostic Radiology Physician
- Boston, MA
- NPI 1154361780
-
- Diagnostic Radiology Physician
- Boston, MA
- NPI 1851046726
-
- Diagnostic Radiology Physician
- Grand Blanc, MI
- NPI 1003571076
-
- Diagnostic Radiology Physician
- Royal Oak, MI
- NPI 1770693798
-
- General Practice Physician
- Coldwater, MI
- NPI 1124055009
-
dba Premier Imaging Centers
- Radiology Clinic/Center
- Flint, MI
- NPI 1578898698
-
dba Insight Hospital and Medical Center Trumbull
- Internal Medicine Physician
- Warren, OH
- NPI 1265268957
Diagnostic Radiology
-
dba Memorial Medical Associates
- General Practice Physician
- Owosso, MI
- NPI 1235160532
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grand Blanc, MI
- NPI 1407877723
-
dba Insight Hospital & Medical Center Chicago
- General Acute Care Hospital
- Chicago, IL
- NPI 1730166224
-
- General Acute Care Hospital
- Flint, MI
- NPI 1902894512
-
dba Insight Surgical Hospital
- General Acute Care Hospital
- Warren, MI
- NPI 1962402354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517356800000",
"number": "1174962187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 BROOKLINE ST UNIT 3",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021394543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 WASHINGTON ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111552",
"telephone_number": "617-636-0067"
}
],
"practiceLocations": [
{
"address_1": "268 W Saginaw St",
"address_2": "Unit 302",
"address_purpose": "LOCATION",
"city": "East Lansing",
"state": "MI",
"postal_code": "488232601",
"country_code": "US",
"telephone_number": "810-874-9436",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAMMOUD",
"first_name": "KHALED",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-24",
"last_updated": "2018-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "267691",
"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 Jan 31, 2018; 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.
- 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.