Individual provider Active NPI

Esmet A Hakim, M.D.

  • Internal Medicine Physician
  • Woburn, MA
National Provider Identifier
1376551937
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
050613 Issued in MA
Practice address
2 Rehabilitation Way
Woburn, MA 01801-6003
Phone
(781) 935-5050
NPI assigned
Aug 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 050613 MA Primary

Addresses

Primary practice location

2 Rehabilitation Way
Woburn, MA 01801-6003

Mailing address

110 Winn St
Suite 201
Woburn, MA 01801-2897
Phone (781) 933-3734

Other identifiers 4

IdentifierTypeStateIssuer
J13493OtherMABLUE CROSS/BLUE SHIELD
050613OtherMATUFTS HEALTH PLAN
691035OtherMAHARVARD PILGRIM
3104486MedicaidMA

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
I20040513000832 MA Practitioner - Internal Medicine 5092705905 Reassigns benefits to 1 organization
Practice locations: Woburn, MA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1977
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2 Rehab Way
Woburn, MA 01801-6003
Phone (781) 933-3734

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
050613MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Esmet a Hakim MD PLLC Internal Medicine CurrentSince Jul 2, 2021 Accepting new patients
Cambridge Hosp Prof Ser Past Accepting new patients
Physician Coverage Services Internal Medicine Past Accepting new patients
Encompass Health Rehabilitation Hospital of New England, LLC Past Accepting new patients

Locations

110 Winn St
Ste 104
Woburn, MA 01801

2 Rehabilitation Way
Woburn, MA 01801
Phone (781) 935-5050

Organizations & group practices 4

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 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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376551937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WINN ST",
            "address_2": "SUITE 201",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018012897",
            "telephone_number": "781-933-3734",
            "fax_number": "781-932-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 REHABILITATION WAY",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016003",
            "telephone_number": "781-935-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKIM",
        "first_name": "ESMET",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "050613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "J13493",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "050613",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "691035",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3104486",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

Verify at the official NPI Registry.