NPIMap

Individual provider Active NPI

Haatem Mostafa Reda, MD

  • Neurology Physician
  • Boston, MA
National Provider Identifier
1255580031
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
52343 Issued in MN
Practice address
55 Fruit Street
Massachusetts General Hospital
Boston, MA 02114-2621
Phone
(617) 726-2000
NPI assigned
Sep 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 104544 MN
Neurology Physician 2084N0400X 52343 MN Primary

Addresses

Primary practice location

55 Fruit Street
Massachusetts General Hospital
Boston, MA 02114-2621

Mailing address

55 Fruit Street
Massachusetts General Hospital
Boston, MA 02114-2621
Phone (617) 726-2000

Other identifiers 1

IdentifierTypeStateIssuer
ENROLLEDMedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140624001441 MA Practitioner - Neurology 2365597481 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
New York Medical College, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The General Hospital CorporationGroup PAC ID 6507803806, 1,275 clinicians
Nantucket Cottage HospitalGroup PAC ID 1759357601, 91 clinicians

Practice addresses (Care Compare)

55 Fruit St
Boston, MA 02114-2621
Phone (617) 726-2000

55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287

57 Prospect St
Nantucket, MA 02554-2799
Phone (508) 825-8100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52343MNMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Jul 1, 2014 Accepting new patients
General Hospital Corp Current Accepting new patients
Nantucket Cottage Hospital CurrentSince Feb 15, 2017 Accepting new patients
Massachusetts General Physicians Organization Inc Neurology CurrentSince Jul 1, 2014 Accepting new patients
Martha'S Vineyard Hospital, Inc. CurrentSince Mar 9, 2021 Accepting new patients
Martha'S Vineyard Hospital, Inc. CurrentSince Mar 9, 2021 Accepting new patients
Nantucket Cottage Hospital CurrentSince Feb 15, 2017 Accepting new patients
Martha'S Vineyard Hospital, Inc. Past Accepting new patients

Locations

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

57 Prospect St
Nantucket, MA 02554
Phone (508) 228-1200

1 Hospital Rd
Oak Bluffs, MA 02557
Phone (508) 684-4500

52 Second Ave
Waltham, MA 02451
Phone (781) 341-3966

Interoperability endpoints

  • Direct secure messaging: hreda46744@tuftsmedicine.direct-ci.com
  • Direct secure messaging: reda.haatem.mgh@direct.partners.masshiway.net
  • Direct secure messaging: hreda188685@direct.ochin.org

Organizations & group practices 8

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 8

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": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1255580031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FRUIT STREET",
            "address_2": "MASSACHUSETTS GENERAL HOSPITAL",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "617-726-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT STREET",
            "address_2": "MASSACHUSETTS GENERAL HOSPITAL",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "617-726-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDA",
        "first_name": "HAATEM",
        "middle_name": "MOSTAFA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-16",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MN",
            "license": "104544",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MN",
            "license": "52343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.