Active NPI
Fuad B Mudawwar, MD
- Allergy Physician
- Florence, MA
National Provider Identifier
1225029713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- 41712
- Practice address
- 269 Locust St
Suite 201
Florence, MA 01062-2003 - Phone
- (413) 586-0769
- Fax
- (413) 584-0392
- NPI assigned
- Nov 2, 2005
- 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 |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | 41712 | MA | Primary |
Addresses
Primary practice location
269 Locust St
Suite 201
Florence, MA 01062-2003
Mailing address
269 Locust St
Suite 201
Northampton, MA 01062-2003
Phone (413) 586-0769
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24219108 | Medicaid | MA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baystate Affiliated Practice Organization | Allergy | Past | Accepting new patients |
| Nancy a Balin MD F a C S | Past | 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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Springfield, MA
- NPI 1043256043
Allergy
-
- Ophthalmology Physician
- Northampton, MA
- NPI 1033114103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423785600000",
"number": "1225029713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "269 LOCUST ST",
"address_2": "SUITE 201",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010622003",
"telephone_number": "413-586-0769",
"fax_number": "413-584-0392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "269 LOCUST ST",
"address_2": "SUITE 201",
"city": "FLORENCE",
"state": "MA",
"postal_code": "010622003",
"telephone_number": "413-586-0769",
"fax_number": "413-584-0392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUDAWWAR",
"first_name": "FUAD",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2015-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "MA",
"license": "41712",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "24219108",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Florence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.