Individual provider Active NPI

Fathalla Mashali, MD

Critical Care Medicine (Anesthesiology) Physician
Winchester, MA

National Provider Identifier

1386609907

Registry record updated Sep 17, 2013

On this page

Key facts
NPPES NPI Registry
Medicare participation
National Provider Directory
Organizations & group practices23
NPI Registry JSON
Other providers in Winchester, MA
Sources for this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

Section 1128a(1) exclusion effective Aug 20, 2018.
Section 1128b(5) exclusion effective Apr 20, 2014.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry

Primary specialty: Critical Care Medicine (Anesthesiology) PhysicianTaxonomy code 207LC0200X
License: 152670 Issued in MA
Practice address: 10 Converse PL
Suite 4
Winchester, MA 01890-2713
Phone: (781) 729-0500
Fax: (781) 729-0581
NPI assigned: Apr 18, 2006
Last updated: Sep 17, 2013By the provider in NPPES
Sex: Male
Sole proprietor: No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Specialties & licenses 4

Specialty (taxonomy)	Code	License	State	Primary
Anesthesiology Physician	207L00000X	152670	MA
Anesthesiology Physician	207L00000X	MD09332	RI
Critical Care Medicine (Anesthesiology) Physician	207LC0200X	152670	MA	Primary
Critical Care Medicine (Anesthesiology) Physician	207LC0200X	MD09332	RI

Addresses

Primary practice location

10 Converse PL
Suite 4
Winchester, MA 01890-2713

Mailing address

10 Converse PL
Suite 4
Winchester, MA 01890-2713
Phone (781) 729-0500

Other identifiers 31

Identifier	Type	State	Issuer
000000029495	Other	MA	BMC
050092409	Other		RAILROAD
4268	Other		NHP
65315	Other	MA	FHP
30207078	Medicaid	NH
3799831	Other		AETNA
405332	Other	RI	BLUE CHIP
973948	Other	MA	TUFTS
AA20850	Other	MA	HPHC
0028221	Other		NHP
251516	Other	MA	FIRST HEALTH
4306245	Other		CIGNA
4306245	Other	MA	CIGNA
7005612	Medicaid	RI
97394803	Other	MA	NETWORK HEALTH
P00391599	Other		RAILROAD
202010504	Other	MA	CHOICECARE
3160840	Medicaid	MA
P00069529	Other		RAILROAD
152670	Other	MA	TUFTS
3787519	Other	MA	AETNA
408547	Other	RI	BLUE CHIP
0010025	Other		NHP
276127	Other	MA	HPHC
AA30508	Other	MA	HPHC
AA81270	Other	MA	HPHC
050091454	Other		RAILROAD
202010504	Other	MA	GREATWEST
5253541	Other	MA	AETNA
AA64197	Other	MA	HPHC
J17353	Other	MA	BCBS

Medicare participation

Medicare enrollment files

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Not enrolled
HHS exclusion list flag: Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
152670	MA	MD	Anesthesiology Physician
MD09332	RI	MD	Critical Care Medicine (Anesthesiology) Physician

Practice roles

Organization	Specialty	Status	New patients
Anesthetics of Worcester, PC	Anesthesiology	PastSince Sep 1, 2005	Accepting new patients
Northern Rhode Island Anesthesia Associates, PC	Anesthesiology	PastSince Nov 1, 2001	Accepting new patients
New England Pain Associates		PastSince Apr 1, 2005	Accepting new patients
Anesthetics of Lawrence, PC	Anesthesiology	PastSince Nov 28, 2005	Accepting new patients
Anesthetics of Massachusetts, PC	Anesthesiology	PastSince Feb 1, 2003	Accepting new patients
Northern Rhode Island Medical Group, PC		PastSince Jul 1, 2004	Accepting new patients
Anesthetics of Lowell, PC	Anesthesiology	PastSince Oct 1, 2004	Accepting new patients
Anesthetics of Nantucket, PC	Anesthesiology	PastSince Sep 1, 2005	Accepting new patients
St John's Regional Medical Center	Anesthesiology	Past	Accepting new patients
Anesthetics of New Hampshire, PC	Anesthesiology	PastSince Jun 1, 2006	Accepting new patients
Anesthetics of Brockton, PC	Anesthesiology	PastSince Jan 1, 2005	Accepting new patients
St Johns Regional Medical Center	Anesthesiology	Past	Accepting new patients
Arbor Inpatient Physicians, PC		PastSince Jun 1, 2006	Accepting new patients

Organizations & group practices 23

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.

Anesthetics of Brockton, PC
- Certified Registered Nurse Anesthetist
- Brockton, MA
- NPI 1790715910
Anesthesiology
NPD (past) Authorized official
Anesthetics of Lawrence, PC
- Anesthesiology Physician
- Lawrence, MA
- NPI 1376599829
NPD (past) Authorized official
Anesthetics of Lowell, PC
- Anesthesiology Physician
- Lowell, MA
- NPI 1609822212
NPD (past) Authorized official
Anesthetics of Massachusetts, PC
- Certified Registered Nurse Anesthetist
- Melrose, MA
- NPI 1386695534
Anesthesiology
NPD (past) Authorized official
Anesthetics of Nantucket, PC
- Certified Registered Nurse Anesthetist
- Nantucket, MA
- NPI 1669487302
Anesthesiology
NPD (past) Authorized official
Anesthetics of Worcester, PC
- Critical Care Medicine (Anesthesiology) Physician
- Webster, MA
- NPI 1083667950
NPD (past) Authorized official
Arbor Inpatient Physicians, PC
- Hospitalist Physician
- Haverhill, MA
- NPI 1992756589
NPD (past) Authorized official
New England Pain Associates
- Pain Medicine (Anesthesiology) Physician
- Winchester, MA
- NPI 1831349984
Authorized official Same address or phone
New England Pain Associates, P.C.
- Pain Medicine (Anesthesiology) Physician
- Worcester, MA
- NPI 1366576191
Authorized official Same address or phone
New England Pain Associates, PC
- Pain Medicine (Anesthesiology) Physician
- Brockton, MA
- NPI 1063647683
Authorized official Same address or phone
New England Pain Associates, PC
- Ambulatory Surgical Clinic/Center
- Braintree, MA
- NPI 1598096273
Authorized official Same address or phone
New England Pain Associates, PC
- Pain Clinic/Center
- Holbrook, MA
- NPI 1730487760
Authorized official Same address or phone

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1386609907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CONVERSE PL",
            "address_2": "SUITE 4",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018902713",
            "telephone_number": "781-729-0500",
            "fax_number": "781-729-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CONVERSE PL",
            "address_2": "SUITE 4",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018902713",
            "telephone_number": "781-729-0500",
            "fax_number": "781-729-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASHALI",
        "first_name": "FATHALLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "152670",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "RI",
            "license": "MD09332",
            "primary": false
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "MA",
            "license": "152670",
            "primary": true
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "RI",
            "license": "MD09332",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
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            "identifier": "000000029495",
            "state": "MA"
        },
        {
            "code": "01",
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            "issuer": "RAILROAD",
            "identifier": "050092409",
            "state": null
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        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "4268",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FHP",
            "identifier": "65315",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30207078",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3799831",
            "state": null
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        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "405332",
            "state": "RI"
        },
        {
            "code": "01",
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            "issuer": "TUFTS",
            "identifier": "973948",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "AA20850",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "0028221",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "251516",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4306245",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4306245",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7005612",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "97394803",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00391599",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHOICECARE",
            "identifier": "202010504",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3160840",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00069529",
            "state": null
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        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "152670",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3787519",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "408547",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "0010025",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "276127",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "AA30508",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "AA81270",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "050091454",
            "state": null
        },
        {
            "code": "01",
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            "issuer": "GREATWEST",
            "identifier": "202010504",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5253541",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "AA64197",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J17353",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, MA

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.