Ghusn Al Sideiri, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

277777 Issued in MA

Practice address

330 Brookline Ave
Boston, MA 02215-5400

Phone

(617) 667-7000

NPI assigned

Apr 14, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1184243792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 FAWCETT ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381145",
            "telephone_number": "617-710-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155400",
            "telephone_number": "617-667-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL SIDEIRI",
        "first_name": "GHUSN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MA",
            "license": "277777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "galsidei@bidmc.harvard.edu",
            "affiliation": "N",
            "address_1": "330 Brookline Ave",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "022155400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Laith Farah Al Rabadi, M.D.
• Ahmed Al Saeed, DMD
• Mohammed Abdullah Al Shahrani, BDS
• Reem Mohamad Al Shaltoni, DDS, CAGS, MSD
• Owayed Al Shammeri
• Khulud Abdulrahman Al-Aali
• Jassim Al-Abdulla, DDS
• Mostafa Amer Al-Alusi, MD
• Abir Al-Ansari
• Bader A Al-Awadhi, D.D.S.

• Neurological Surgery Physician in Boston, MA
• Providers in Boston, MA by specialty
• Neurological Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.