Wael F Al-Husami, MD
Individual provider Active NPI Interventional Cardiology Physician · Burlington, MA
NPI 1477549988 · NPPES record last updated Mar 19, 2019
Key facts
- NPI
- 1477549988
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Interventional Cardiology Physician 207RI0011X
- License
- 220702 (MA)
- Practice address
- 41 Mall Rd
Burlington, MA 01805 - Phone
- (781) 744-8401
- Fax
- (781) 744-5110
- NPI assigned
- Sep 21, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Interventional Cardiology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lahey Clinic Inc
Practice addresses (Care Compare)
29 Mall Rd
Burlington, MA 01805-0001
298 Washington St
Addison Gilbert
Gloucester, MA 01930-4832
Phone (978) 283-4000
41 Mall Rd
Burlington, MA 01805-0001
Hospital & facility affiliations
- Lahey Hospital & Medical Center, Burlington
- Northeast Hospital Corporation
- Winchester Hospital
- Beth Israel Deaconess Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 25 |
| Pacemaker insertion or repair | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040812001088 | MA | Practitioner - Interventional Cardiology |
2163494741 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 220702 | MA | MD | Cardiovascular Disease Physician |
| 11695 | RI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Medical Group, Inc | Current |
Accepting new patients | |
| BMC Affiliated Physicians, Inc. | Cardiovascular Disease | Current |
Accepting new patients |
| Lahey Clinic, Inc | Current |
Accepting new patients | |
| Prima Care, PC | Current |
Accepting new patients | |
| Lahey Clinic, Inc. | Current |
Accepting new patients | |
| Prima Care, PC | Current |
Accepting new patients | |
| Steward Medical Group, Inc | Current |
Accepting new patients | |
| Steward St. Anne'S Hospital Corporation | Past | Accepting new patients | |
| Jordan Physician Associates, Inc. | Past | Accepting new patients | |
| Caritas Medical Group, Inc. | Past | Accepting new patients | |
| Steward Norwood Hospital, Inc. | Past | Accepting new patients | |
| Jordan Physician Associates, Inc. | Past | Accepting new patients |
Locations
85 Herrick St
Beverly, MA 01915
Phone (978) 816-3700
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
795 Middle St
Fall River, MA 02721
Phone (508) 235-5046
277 Pleasant St
#4
Fall River, MA 02721
1 General St
Lawrence, MA 01841
Phone (978) 946-8103
100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157
800 Washington St
Norwood, MA 02062
Phone (781) 278-6264
67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400
40 Spring St
Watertown, MA 02472
Phone (617) 923-8433
10 Converse Pl
Fl 4
Winchester, MA 01890
Phone (781) 727-4644
111 Brewster St
Pawtucket, RI 02860
Phone (401) 729-2000
Interoperability endpoints
- walhusami11010@direct.bilh.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 11695 | RI | |
| Cardiovascular Disease Physician | 207RC0000X | 220702 | MA | |
| Interventional Cardiology Physician | 207RI0011X | 220702 | MA | Yes |
Addresses
Primary practice location
41 Mall Rd
Burlington, MA 01805
Mailing address
41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-8401
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2076462 | Medicaid | MA |
Other providers in Burlington, MA
- Ali Al Jabri
- Ahmad Al Jarkas
- Omar Najeeb Ahmed Al Qassab
- Ban Al-Abayechi
- Abdullah Mikdad Al-Adhami
- ABA M. Al-Kaabi
- Bibi H Alamiri
- Mustafa Albakour
- Noor Albusta
- Jessica Jennely Alexis
All providers in Burlington, MA · Interventional Cardiology Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.