Individual provider Active NPI

Laith Nidal Hattar, MD

  • Pulmonary Disease Physician
  • Worcester, MA
National Provider Identifier
1376038562
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
2025-00393 Issued in NC
Practice address
55 Lake Ave N
Worcester, MA 01655-0002
Phone
(617) 306-6593
NPI assigned
Jun 29, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 2025-00393 NC
Student in an Organized Health Care Education/Training Program 390200000X 276473 MA
Pulmonary Disease Physician 207RP1001X 2025-00393 NC Primary

Addresses

Primary practice location

55 Lake Ave N
Worcester, MA 01655-0002

Mailing address

55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000

Other practice location 1

3511 W Market St Ste 100
Greensboro, NC 27403-4444
Phone (336) 522-8999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20250818000380 NC Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 5890120745 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moses Cone Medical Services IncGroup PAC ID 2769395458, 214 clinicians

Practice addresses (Care Compare)

3511 W Market St
Suite 100
Greensboro, NC 27403-4444
Phone (336) 522-8999

3518 Drawbridge Pkwy
Suite 330
Greensboro, NC 27410-8432
Phone (336) 890-3072

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2025-00393NCMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Jul 28, 2025 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Jul 28, 2025 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Current Accepting new patients
Moses Cone Medical Services, Inc. Pulmonary Disease CurrentSince Jul 28, 2025 Accepting new patients
Moses Cone Medical Services, Inc. CurrentSince Jul 28, 2025 Accepting new patients

Locations

1236 Huffman Mill Rd
Ste 1600
Burlington, NC 27215
Phone (336) 438-1070

3511 W Market St
Ste 100
Greensboro, NC 27403
Phone (336) 522-8999

509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

3518 Drawbridge Pkwy
Ste 330
Greensboro, NC 27410
Phone (336) 890-3072

300 E Wendover Ave
Fl 2
Greensboro, NC 27401
Phone (336) 663-5219

3511 W Market St
Greensboro, NC 27403
Phone (336) 522-8999

1126 N Church St
Ste 300
Greensboro, NC 27401
Phone (336) 547-1700

940 Golf House Ct E
Whitsett, NC 27377
Phone (336) 449-9848

Organizations & group practices 5

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 1

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": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1376038562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 LAKE AVE N",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016550002",
            "telephone_number": "508-334-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 LAKE AVE N",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016550002",
            "telephone_number": "617-306-6593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3511 W Market St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274034444",
            "country_code": "US",
            "telephone_number": "336-522-8999",
            "fax_number": "336-522-8998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATTAR",
        "first_name": "LAITH",
        "middle_name": "NIDAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-29",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NC",
            "license": "2025-00393",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": "276473",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "2025-00393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.