Dorina R Abdulah, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

81651 Issued in MA

Practice address

47 High St Ste 101
North Andover, MA 01845-2662

Phone

(978) 685-2570

Fax

(978) 685-2572

NPI assigned

Feb 16, 2006

Last updated

Dec 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

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

Locations

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.

• Medical Care of Boston Management Corporation

  • Internal Medicine Physician
  • Needham, MA
  • NPI 1437196359
  Medicare reassignment NPD
• Community Physicians Associates, Inc.

  • Orthopaedic Surgery Physician
  • Milton, MA
  • NPI 1477832780
  NPD (past)
• Community Physicians Associates, Inc.

  • Family Medicine Physician
  • Milton, MA
  • NPI 1538154869

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1386618148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 HIGH ST STE 101",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018452662",
            "telephone_number": "978-685-2570",
            "fax_number": "978-685-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 HIGH ST STE 101",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018452662",
            "telephone_number": "978-685-2570",
            "fax_number": "978-685-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDULAH",
        "first_name": "DORINA",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-16",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "81651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3181472",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-MA",
            "identifier": "A21007",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110059965A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "081651",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHL",
            "identifier": "695070",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• David Abou-Ezzi
• Rachelle Abou-Ezzi, D.M.D
• Access Primary Care Inc
• Acelleron Medical Products LLC
• Acme Therapy Holdings Inc

• Internal Medicine Physician in North Andover, MA
• Providers in North Andover, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.