Individual provider Active NPI

Ali Ridha

  • Internal Medicine Physician
  • Burlington, MA
National Provider Identifier
1336589167
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
292717 Issued in MA
Practice address
41 Mall Rd
Burlington, MA 01805-3037
Phone
(781) 744-8000
NPI assigned
Jun 25, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125.063637 IL
Internal Medicine Physician 207R00000X 292717 MA Primary

Addresses

Primary practice location

41 Mall Rd
Burlington, MA 01805-3037

Mailing address

3333 Green Bay Rd
L. 155-BSB
North Chicago, IL 60064-3037
Phone (847) 578-3227

Other practice location 1

3333 Green Bay Rd
L. 155-BSB
North Chicago, IL 60064-3037
Phone (847) 578-3227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210623002394 TX Practitioner - Internal Medicine 1456630292 Reassigns benefits to 1 organization
I20220822000361 MA Practitioner - Internal MedicinePractitioner - Hospitalist 1456630292 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emerson Practice Associates, IncGroup PAC ID 8123188117, 247 clinicians
Lahey Clinic IncGroup PAC ID 2264336528, shared by 3 NPIs, 1,381 clinicians
Lawrence General Community Medical Service PLLCGroup PAC ID 4486941473, 53 clinicians
New England Community Medical Services PLLCGroup PAC ID 8628102928, 53 clinicians

Practice addresses (Care Compare)

133 Old Rd to 9 Acre Cor
Concord, MA 01742-4159
Phone (978) 287-3020

29 Mall Rd
Burlington, MA 01805-0001

290 Littleton Rd
Unit 3
Chelmsford, MA 01824-3429
Phone (978) 685-2460

41 Mall Rd
Burlington, MA 01805-0001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.063637ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marlborough Hospitalist Group, PLLC CurrentSince Jul 20, 2023 Accepting new patients
Emerson Practice Associates, Inc. Internal Medicine CurrentSince Aug 11, 2025 Accepting new patients
Sound Physicians of Massachusetts Inc Internal Medicine CurrentSince Oct 17, 2024 Accepting new patients
Lawrence General Community Medical Service PLLC Internal Medicine CurrentSince Mar 1, 2026 Accepting new patients
New England Community Medical Services PLLC Internal Medicine CurrentSince Mar 1, 2026 Accepting new patients
Questcare Hospitalists PLLC Internal Medicine CurrentSince Jun 1, 2021 Accepting new patients
Lahey Clinic, Inc. Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
Lahey Clinic, Inc Internal Medicine Current Accepting new patients
Sound Physicians of Massachusetts Inc Internal Medicine Current Accepting new patients
Sound Physicians of Massachusetts, Inc Internal Medicine CurrentSince Oct 17, 2024 Accepting new patients
Brockton Hospital, Inc. Past Accepting new patients
Lahey Clinic Hospital, Inc. Past Accepting new patients

Locations

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

290 Littleton Rd
Unit 3
Chelmsford, MA 01824
Phone (978) 258-4734

133 Ornac
Concord, MA 01742
Phone (978) 287-3000

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

157 Union St
Marlborough, MA 01752
Phone (508) 481-5000

47 High St
Ste 101
North Andover, MA 01845
Phone (978) 258-4734

2601 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 274-5571

1950 Record Crossing Rd
Dallas, TX 75235
Phone (214) 638-1500

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

2301 Marsh Ln
Plano, TX 75093
Phone (972) 428-1600

Interoperability endpoints

  • Direct secure messaging: aridha185356@direct.bilh.masshiway.net

Organizations & group practices 12

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 2

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": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1336589167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 GREEN BAY RD",
            "address_2": "L. 155-BSB",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600643037",
            "telephone_number": "847-578-3227",
            "fax_number": "847-578-8647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MALL RD",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018053037",
            "telephone_number": "781-744-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 Green Bay Rd",
            "address_2": "L. 155-BSB",
            "address_purpose": "LOCATION",
            "city": "North Chicago",
            "state": "IL",
            "postal_code": "600643037",
            "country_code": "US",
            "telephone_number": "847-578-3227",
            "fax_number": "847-578-8647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDHA",
        "first_name": "ALI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-25",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.063637",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "292717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, MA

Sources for this page

Verify at the official NPI Registry.