Individual provider Active NPI

Mohammad Alhabbal, M.D.

  • Family Medicine Physician
  • Worcester, MA
National Provider Identifier
1366469728
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
229350 Issued in MA
Practice address
95 Lincoln St
Worcester, MA 01605-2441
Phone
(508) 453-3223
NPI assigned
Jul 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 229350 MA Primary

Addresses

Primary practice location

95 Lincoln St
Worcester, MA 01605-2441

Mailing address

95 Lincoln St
Worcester, MA 01605-2441
Phone (508) 453-3223

Other practice location 1

119 Belmont St
Worcester, MA 01605-2903
Phone (508) 334-1000

Other identifiers 1

IdentifierTypeStateIssuer
2125374MedicaidMA

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Direct Messaging Address malhabbal22088@UmassMemorial.direct-ci.com

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20061004000652 MA Practitioner - Family Practice 7618973256 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Umass Memorial Medical Group Inc 2,494 clinicians
Lianne Inc 14 clinicians

Practice addresses (Care Compare)

119 Belmont St
Worcester, MA 01605-2903
Phone (508) 334-1000

95 Lincoln St
Worcester, MA 01605-2441
Phone (508) 453-3223

Hospital & facility affiliations

  • Vna Care Network Home health agency, Worcester, MA, CCN 227098
  • Adcare Hospital of Worcester Inc Hospital, Worcester, MA, CCN 220062
  • Umass Memorial Medical Center/University Campus Hospital, Worcester, MA, CCN 220163

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
229350MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Umass Memorial Medical Group Inc Family Medicine CurrentSince Jul 24, 2006 Accepting new patients
Lianne Inc Family Medicine CurrentSince Feb 4, 2014 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Jul 24, 2006 Accepting new patients
Umass Memorial Medical Center, Inc. Past Accepting new patients
Adcare Hospital of Worcester, Inc. Past Accepting new patients
Adcare Rhode Island Inc Past Accepting new patients

Locations

119 Belmont St
Worcester, MA 01605
Phone (508) 334-6345

107 Lincoln St
Worcester, MA 01605
Phone (508) 453-3028

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

119 Belmont St
#2
Worcester, MA 01605
Phone 50833410008780

281 Lincoln St
Worcester, MA 01605
Phone (508) 334-8015

95 Lincoln St
Worcester, MA 01605
Phone (508) 453-3053

200 Lincoln St
Worcester, MA 01605
Phone (508) 755-1222

Interoperability endpoints

  • Direct secure messaging: malhabbal22088@umassmemorial.direct-ci.com
  • Direct secure messaging: mohammad.alhabbal@li.eclinicaldirectplus.com
  • FHIR API: https://fhir-usa.unify.chbase.com/org/adcare-921c4d2d

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Adcare Hospital of WorcesterWorcester, MA, CCN 220062 Hospital Contracted Managing Employee Mar 1, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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 3

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": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1366469728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 LINCOLN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052441",
            "telephone_number": "508-453-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 LINCOLN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052441",
            "telephone_number": "508-453-3223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 Belmont St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016052903",
            "country_code": "US",
            "telephone_number": "508-334-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALHABBAL",
        "first_name": "MOHAMMAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "229350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2125374",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "119 Belmont St",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016052903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "malhabbal22088@UmassMemorial.direct-ci.com",
            "affiliation": "N",
            "address_1": "119 Belmont St",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016052903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.