Ghada Al Mubarak, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD170379 Issued in MA

Practice address

750 Washington St
Surgery Dept, Tufts-Nemc
Boston, MA 02111-1526

Phone

(617) 636-5891

NPI assigned

Feb 6, 2008

Last updated

Aug 14, 2015By 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

Medicare fee-for-service enrollment

Enrolled in MD, DC, VA3 enrollments

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 3

Specialty

General Surgery

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maryland and Virginia Phlebology PCGroup PAC ID 8628000148, 7 clinicians

USA Vein Clinics of Maryland LLCGroup PAC ID 9335513365, 5 clinicians

USA Vein Clinics of Chantilly LLCGroup PAC ID 6406284462, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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.

• Maryland and Virginia Phlebology PC

  dba Vein Clinics of America

  • Surgery Physician
  • Baltimore, MD
  • NPI 1750462081

  DC, VA

  Medicare reassignment Care Compare group NPD
• USA Vein Clinics of Chantilly LLC

  • Vascular Surgery Physician
  • Chantilly, VA
  • NPI 1124670930

  DC

  Medicare reassignment Care Compare group NPD
• USA Vein Clinics of Maryland LLC

  • Vascular Surgery Physician
  • Annapolis, MD
  • NPI 1972201879

  DC

  Medicare reassignment Care Compare group NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  VA

  Medicare reassignment NPD
• Tufts-New England Medical Center

  • General Acute Care Hospital
  • Jamaica Plain, MA
  • NPI 1750593034
  Authorized official Same address or phone
• Maryland and Virginia Phlebology PC

  • Surgery Physician
  • Rockville, MD
  • NPI 1700688348
  NPD
• USA Vein Clinics of Maryland LLC

  • Vascular Surgery Physician
  • Rockville, MD
  • NPI 1003616541
  NPD

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439510400000",
    "number": "1407034911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 EAST FIFTH STREET",
            "city": "COQUILLE",
            "state": "OR",
            "postal_code": "974231666",
            "telephone_number": "541-396-3111",
            "fax_number": "541-396-1783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 WASHINGTON ST",
            "address_2": "SURGERY DEPT, TUFTS-NEMC",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111526",
            "telephone_number": "617-636-5891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL MUBARAK",
        "first_name": "GHADA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-06",
        "last_updated": "2015-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "MD170379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leen Al Kassab, MD
• Karim Al Kassm
• Hawra Al Lawati, MD
• Almundher Al Maawali, MD
• Sarah Al Maskri
• Rasha Salim Mohamed Al Nadabi, MD
• Laith Farah Al Rabadi, M.D.
• Ahmed Al Saeed, DMD
• Mohammed Abdullah Al Shahrani, BDS
• Reem Mohamad Al Shaltoni, DDS, CAGS, MSD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.