Individual provider Active NPI

Amal Kimawi, M.D

  • Psychiatry Physician
  • Boston, MA
National Provider Identifier
1225323660
Registry record updated Jun 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
245852 Issued in MA
Practice address
800 Washington St
Suite Number 1007
Boston, MA 02111-1552
Phone
(617) 636-7120
Fax
(617) 636-4852
NPI assigned
Jun 14, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 245852 MA Primary

Addresses

Primary practice location

800 Washington St
Suite Number 1007
Boston, MA 02111-1552

Mailing address

800 Washington St
Suite Number 1007
Boston, MA 02111-1552
Phone (617) 636-7120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151209001074 MA Practitioner - Psychiatry 3072814417 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Melrosewakefield Healthcare, Inc 24 clinicians
Jordan Physician Associates Inc 166 clinicians

Practice addresses (Care Compare)

170 Governors Ave
Medford, MA 02155-1643
Phone (781) 306-6000

199 Reedsdale Rd
Milton, MA 02186-3926
Phone (617) 696-4600

Hospital & facility affiliations

  • Beth Israel Deaconess Hospital - Milton Hospital, Milton, MA, CCN 220108
  • Melrosewakefield Healthcare Hospital, Melrose, MA, CCN 220070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
245852MAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan Physician Associates, Inc. CurrentSince Sep 1, 2016 Accepting new patients
Jordan Physician Associates, Inc. CurrentSince Sep 1, 2016 Accepting new patients
Hallmark Health System Inc Psychiatry CurrentSince Sep 26, 2015 Accepting new patients
Melrosewakefield Healthcare, Inc. Current Accepting new patients
Pratt Psychiatric Associates, Inc Psychiatry CurrentSince Feb 1, 2026 Accepting new patients
Melrosewakefield Healthcare, Inc. CurrentSince Sep 26, 2015 Accepting new patients
Blue Hill Psychiatry PLLC Psychiatry Current Accepting new patients

Locations

800 Washington St
#1013
Boston, MA 02111
Phone (617) 636-0491

800 Washington St
#1007
Boston, MA 02111
Phone (617) 636-1636

100 Hospital Rd
Malden, MA 02148
Phone (781) 322-7560

170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000

199 Reedsdale Rd
Milton, MA 02186
Phone (617) 313-1000

275 Sandwich St
Plymouth, MA 02360
Phone (508) 746-2000

46 Obery St
Plymouth, MA 02360
Phone (508) 210-5920

Interoperability endpoints

  • Direct secure messaging: akimawi28724@tuftsmedicine.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1225323660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON ST",
            "address_2": "SUITE NUMBER 1007",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111552",
            "telephone_number": "617-636-7120",
            "fax_number": "617-636-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON ST",
            "address_2": "SUITE NUMBER 1007",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111552",
            "telephone_number": "617-636-7120",
            "fax_number": "617-636-4852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMAWI",
        "first_name": "AMAL",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-14",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "245852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.