Abdullah Aleisa, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

268550 Issued in MA

Practice address

800 Washington St.
Box #114
Boston, MA 02111

Phone

(617) 636-1359

NPI assigned

Jul 16, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Pratt Med/Surg Dermatology Associates Inc

  • Dermatology Physician
  • Boston, MA
  • NPI 1528012176
  NPD (past)
• Pratt OB/GYN Associates, Inc

  • Obstetrics & Gynecology Physician
  • Boston, MA
  • NPI 1336186501
  NPD (past)

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

{
    "created_epoch": "1468627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1376996199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 WASHINGTON ST",
            "address_2": "APT. 9L",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021113200",
            "telephone_number": "571-337-7262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON ST.",
            "address_2": "BOX #114",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02111",
            "telephone_number": "617-636-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEISA",
        "first_name": "ABDULLAH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "268550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fatima Khalid Alduraibi, MD, PHD
• Alhanoof Alduraie
• Seyedeh Batol Aleali, MD
• Stephen Aledort
• Mariana Alegria
• Abdulrhman Aleisa, MBBS
• Alwaleed Aleisa
• Deamah Ahmad Aleisa
• Alekna Therapy and Wellness
• Jean Marie Alekna, PPCNP-BC

• Dermatology Physician in Boston, MA
• Providers in Boston, MA by specialty
• Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.