Individual provider Active NPI

Hala Sadek Moustafa, M.B.B.CH/M.D.

  • Psychiatry Physician
  • Medfield, MA
National Provider Identifier
1245592161
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
268199 Issued in MA
Practice address
266 Main St Ste 2
Medfield, MA 02052-2018
Phone
(774) 469-4999
Fax
(508) 796-2361
NPI assigned
Jun 15, 2012
Last updated
Apr 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 268199 MA Primary

Addresses

Primary practice location

266 Main St Ste 2
Medfield, MA 02052-2018

Mailing address

266 Main St Ste 2
Medfield, MA 02052-2018
Phone (774) 469-4999

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
I20170530001693 MA Practitioner - Psychiatry 8527340694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

266 Main St
Suite 2
Medfield, MA 02052-2018
Phone (774) 469-4999

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
HSM Behavioral Services, Inc Psychiatry CurrentSince Mar 1, 2021 Accepting new patients

Locations

266 Main St
Ste 2
Medfield, MA 02052
Phone (508) 530-5530

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1245592161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 MAIN ST STE 2",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "020522018",
            "telephone_number": "774-469-4999",
            "fax_number": "508-796-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 MAIN ST STE 2",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "020522018",
            "telephone_number": "774-469-4999",
            "fax_number": "508-796-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSTAFA",
        "first_name": "HALA",
        "middle_name": "SADEK",
        "credential": "M.B.B.CH/M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-15",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "268199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medfield, MA

Sources for this page

Verify at the official NPI Registry.