NPIMap

Individual provider Active NPI

Adel Ebrahim Ghuloom, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Boston, MA
National Provider Identifier
1417966615
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
257708 Issued in MA
Practice address
800 Washington St
Boston, MA 02111-1552
Phone
(617) 636-5000
NPI assigned
Aug 5, 2006
Last updated
Aug 27, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 257708 MA Primary

Addresses

Primary practice location

800 Washington St
Boston, MA 02111-1552

Mailing address

800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5000

Other identifiers 1

IdentifierTypeStateIssuer
200072990AMedicaidOK

Other names 1

  • Adel Ebrahim Ghuloom Ali Akbar Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, CA, TX3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20051115000901 OK Practitioner - Critical Care (Intensivists) 0345210357 Reassigns benefits to 5 organizations
I20201208002567 CA Practitioner - Critical Care (Intensivists) 0345210357 Reassigns benefits to 1 organization
I20260224002288 TX Practitioner - Internal Medicine 0345210357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aandr Management Services IncGroup PAC ID 7618248105, 13 clinicians
Northeastern Health SystemGroup PAC ID 1456255025, 105 clinicians
Inpatient Specialists of California PCGroup PAC ID 3476864448, 373 clinicians

Practice addresses (Care Compare)

10505 E 91St St
Suite 205
Tulsa, OK 74133-5829
Phone (918) 307-5490

1400 E Downing St
Tahlequah, OK 74464-3324
Phone (918) 456-0641

2121 Santa Monica Blvd
Santa Monica, CA 90404-2303
Phone (484) 622-1000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Medical Group Corp CurrentSince Jul 1, 2022 Accepting new patients
Warren Clinic Inc CurrentSince Jul 26, 2024 Accepting new patients
A&R Management Services, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Northeastern Health System CurrentSince Aug 15, 2023 Accepting new patients
Northeastern Health System Current Accepting new patients
Northeastern Health System CurrentSince Aug 15, 2023 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Jan 14, 2026 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Jan 14, 2026 Accepting new patients
Inpatient Specialists of California, PC CurrentSince Jan 30, 2025 Accepting new patients
Northeastern Health System Past Accepting new patients
Northeastern Health System Past Accepting new patients
Zuhdi Transplant Physicians Past Accepting new patients

Locations

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435

1800 E Coplin St
Okemah, OK 74859
Phone (918) 623-1424

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

1400 E Downing St
Tahlequah, OK 74464
Phone (918) 456-0641

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

10505 E 91st St
Ste 205
Tulsa, OK 74133
Phone (708) 724-8599

6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

Dept 1467
Tulsa, OK 74182

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

Interoperability endpoints

  • Direct secure messaging: aghuloom857782@direct.memorialcare.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/932b43fb-c766-413c-a343-640549d20cb3/

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 9

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1417966615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111552",
            "telephone_number": "617-636-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111552",
            "telephone_number": "617-636-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHULOOM",
        "first_name": "ADEL",
        "middle_name": "EBRAHIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MA",
            "license": "257708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200072990A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADEL",
            "last_name": "GHULOOM ALI AKBAR",
            "middle_name": "EBRAHIM",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.