Demian G Mousad, M.D

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

210988 Issued in MA

Practice address

116 Belmont St RM 34
Worcester, MA 01605-2964

Phone

(508) 713-6063

NPI assigned

May 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and RehabilitationAlso: Interventional Pain Management

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Umass Memorial Medical Center/University Campus Hospital, Worcester, MA, CCN 220163

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17964/brand/1/csg/1/fhir/r4
• Direct secure messaging: demian.mousad.1@17964.direct.athenahealth.com

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.

• Worcester Pain Management PLLC

  • Interventional Pain Medicine Physician
  • Worcester, MA
  • NPI 1336631456

  Physical Medicine & Rehabilitation

  Medicare reassignment NPD Authorized official
• Advanced Pain Management Inc

  • Interventional Pain Medicine Physician
  • Stoneham, MA
  • NPI 1770685877
  Medicare reassignment NPD
• Demian Grece Mousad Dba Worcester Pain Management

  • Interventional Pain Medicine Physician
  • Worcester, MA
  • NPI 1073000261

  Physical Medicine & Rehabilitation

  NPD Authorized official
• Advanced Pain Management Inc

  • Durable Medical Equipment & Medical Supplies
  • Stoneham, MA
  • NPI 1407024854
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Umass Memorial Medical Center, Inc.

  • General Acute Care Hospital
  • Worcester, MA
  • NPI 1831151455
  Care Compare affiliation

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1336106574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 BELMONT ST RM 34",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052964",
            "telephone_number": "508-713-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 BELMONT ST RM 34",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052964",
            "telephone_number": "508-713-6063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Woodland Rd",
            "address_2": "Suite #322",
            "address_purpose": "LOCATION",
            "city": "Stoneham",
            "state": "MA",
            "postal_code": "021801702",
            "country_code": "US",
            "telephone_number": "781-662-2243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOUSAD",
        "first_name": "DEMIAN",
        "middle_name": "G",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MA",
            "license": "210988",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MA",
            "license": "210988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Leigh Moulton, DO
• Raegan N Moulton, DPT
• Maria Izabel Moura-Westdijk
• Dalton T Mourao, MD
• Laura Whittington Mouro, CRNA
• Scott Mousette
• Jessica Lee Mousseau, MS, RDN
• Antonios Mouzakis, MD
• Babak Movahedi, MD, PHD
• Nada M Mowlood

• Interventional Pain Medicine Physician in Worcester, MA
• Providers in Worcester, MA by specialty
• Interventional Pain Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.