Mahmoud A El Hadidy, D.M.D., PHD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

19353 Issued in MA

Practice address

311 Commonwealth Ave
Suite 10
Boston, MA 02115-1926

Phone

(617) 267-4777

Fax

(617) 267-1277

NPI assigned

Nov 22, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Mahmoud El Hadidy, DMD, PHD, PC

  dba Back Bay Oral& Maxillofacial Surgery

  • Oral and Maxillofacial Surgery Clinic/Center
  • Boston, MA
  • NPI 1265568174
  Authorized official Same address or phone
• Parisa Shokri, DMD P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Boston, MA
  • NPI 1265182281
  NPD

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306829510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 COMMONWEALTH AVE",
            "address_2": "SUITE 10",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021151926",
            "telephone_number": "617-267-4777",
            "fax_number": "617-267-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 COMMONWEALTH AVE",
            "address_2": "SUITE 10",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021151926",
            "telephone_number": "617-267-4777",
            "fax_number": "617-267-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL HADIDY",
        "first_name": "MAHMOUD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.M.D., PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "19353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omar El Fadel, MD
• Lea El Hachem, DDS, MSD
• Saria Mounir El Haddad, M.D
• El Haddis Home Healthcare Agency,LLC
• Dalia El Hadi, M.D.
• Christelle El Helou, M.D.
• Rachelle El Helou, MD
• Joseph El Khalil, MD
• Kristen El Khattabi, LICSW
• Tracy El Khoury, MD

• Oral and Maxillofacial Surgery (Dentist) in Boston, MA
• Providers in Boston, MA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.