Individual provider Active NPI

Ali Mossaid, MD

  • Internal Medicine Physician
  • E Providence, RI
National Provider Identifier
1316508278
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD18323 Issued in RI
Practice address
387 Waterman Ave
E Providence, RI 02914-2618
Phone
(401) 438-2780
NPI assigned
Jun 21, 2019
Last updated
Dec 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD18323 RI Primary

Addresses

Primary practice location

387 Waterman Ave
E Providence, RI 02914-2618

Mailing address

121 Dekalb Ave
Brooklyn, NY 11201-5425

Other identifiers 1

IdentifierTypeStateIssuer
MD18323OtherRIRI DEPARTMENT OF HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20220525001086 RI Practitioner - Internal Medicine 0143608539 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prospect Chartercare Physicians LLCGroup PAC ID 0840416657, 71 clinicians

Practice addresses (Care Compare)

1681 Cranston St
Cranston, RI 02920-5000
Phone (401) 944-6889

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD18323RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chartercare Physicians, LLC Internal Medicine CurrentSince May 28, 2025 Accepting new patients
Prospect Chartercare Physicians, LLC Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients

Locations

1681 Cranston St
Cranston, RI 02920
Phone (401) 944-6889

387 Waterman Ave
East Providence, RI 02914
Phone (401) 438-2780

825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000

501 Wampanoag Trl
Ste 102
Riverside, RI 02915

501 Wampanoag Trl
Unit 102
Riverside, RI 02915
Phone (401) 435-3325

501 Wampanoag Trl
Unit 2
Riverside, RI 02915
Phone (401) 435-3327

Interoperability endpoints

  • Direct secure messaging: ali.mossaid.1@9000.direct.athenahealth.com
  • Direct secure messaging: amossaid17590@prd.direct.tbh.org

Organizations & group practices 2

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 5

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": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1316508278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 DEKALB AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 WATERMAN AVE",
            "city": "E PROVIDENCE",
            "state": "RI",
            "postal_code": "029142618",
            "telephone_number": "401-438-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSSAID",
        "first_name": "ALI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-21",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD18323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI DEPARTMENT OF HEALTH",
            "identifier": "MD18323",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in E Providence, RI

Sources for this page

Verify at the official NPI Registry.