Individual provider Active NPI

Adeeb H Al-Quthami, MD

  • Cardiovascular Disease Physician
  • Plymouth, MA
National Provider Identifier
1245483965
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
338450 Issued in NY
Practice address
30 Resnik Rd Lowr Level
Plymouth, MA 02360-7211
Phone
(508) 746-2900
NPI assigned
Oct 25, 2008
Last updated
Sep 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 338450 NY Primary
Cardiovascular Disease Physician 207RC0000X 253841 MA

Addresses

Primary practice location

30 Resnik Rd Lowr Level
Plymouth, MA 02360-7211

Mailing address

Dept. of Medicine Medical Service Group
90 Presidential Plaza, Suite 5010
Syracuse, NY 13202
Phone (315) 464-9335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130520000036 MA Practitioner - Cardiovascular Disease (Cardiology) 2567609100 Reassigns benefits to 4 organizations
I20251013000934 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2567609100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
George Washington University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

90 Presidential PLZ
Suite 5010
Syracuse, NY 13202-2240
Phone (315) 464-9335

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
253841MAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Department of Medicine Medical Serv GRP at Suny HLTH Sci Ctr Syr in Cardiovascular Disease CurrentSince Aug 15, 2025 Accepting new patients
Jordan Physician Associates, Inc. Clinic/Center CurrentSince Aug 1, 2021 Accepting new patients
Department of Medicine Medical Service Group CurrentSince Aug 15, 2025 Accepting new patients
Robert Scarlatelli,M.D.,LLC Cardiovascular Disease CurrentSince Oct 5, 2021 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Sep 21, 2022 Accepting new patients
Steward Medical Group, Inc Clinic/Center CurrentSince Jan 31, 2019 Accepting new patients
Euclid Hospital Cleveland Clinic Health System General Acute Care Hospital Current Accepting new patients
Jordan Physician Associates, Inc. Clinic/Center CurrentSince Aug 1, 2021 Accepting new patients
Steward Medical Group, Inc Clinic/Center CurrentSince Jan 31, 2019 Accepting new patients
Bond Medical Consultants, PC Clinic/Center CurrentSince Feb 5, 2019 Accepting new patients
Medical Affiliates of Cape Cod, Inc. Clinic/Center CurrentSince Sep 21, 2022 Accepting new patients
Academic Research Corporation Cardiovascular Disease PastSince Aug 24, 2011 Accepting new patients

Locations

100 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 457-3501

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

1234 Hyde Park Ave
Hyde Park, MA 02136
Phone (617) 364-2420

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

30 Resnik Rd
Lowr
Plymouth, MA 02360
Phone (508) 746-2900

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

5112 W Taft Rd
Ste J
Liverpool, NY 13088
Phone (315) 701-2170

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

90 Presidential Plz
#5010
Syracuse, NY 13202
Phone (315) 464-9335

90 Presidential Plz
Ste 5010
Syracuse, NY 13202
Phone (315) 464-9335

Interoperability endpoints

  • Direct secure messaging: aalquthami170867@direct.upstate.edu
  • Direct secure messaging: aalquthami252979@direct.bilh.masshiway.net
  • Direct secure messaging: aalquthami81058@direct.ccf.org

Organizations & group practices 12

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.

Hospital & facility affiliations 3

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": "1224892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1245483965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT. OF MEDICINE MEDICAL SERVICE GROUP",
            "address_2": "90 PRESIDENTIAL PLAZA, SUITE 5010",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13202",
            "telephone_number": "315-464-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 RESNIK RD LOWR LEVEL",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023607211",
            "telephone_number": "508-746-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-QUTHAMI",
        "first_name": "ADEEB",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-25",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "338450",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "253841",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

Verify at the official NPI Registry.