NPIMap

Individual provider Active NPI

Wael F Al-Husami, MD

  • Interventional Cardiology Physician
  • Burlington, MA
National Provider Identifier
1477549988
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
220702 Issued in MA
Practice address
41 Mall Rd
Burlington, MA 01805
Phone
(781) 744-8401
Fax
(781) 744-5110
NPI assigned
Sep 21, 2005
Last updated
Mar 19, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 11695 RI
Cardiovascular Disease Physician 207RC0000X 220702 MA
Interventional Cardiology Physician 207RI0011X 220702 MA Primary

Addresses

Primary practice location

41 Mall Rd
Burlington, MA 01805

Mailing address

41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-8401

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040812001088 MA Practitioner - Interventional CardiologyPractitioner - Internal Medicine 2163494741 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lahey Clinic IncGroup PAC ID 2264336528, shared by 3 NPIs, 1,381 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting25
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11695RIMDCardiovascular Disease Physician
220702MAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lahey Clinic, Inc CurrentSince Oct 1, 2009 Accepting new patients
Prima Care, PC CurrentSince Sep 1, 2014 Accepting new patients
BMC Affiliated Physicians, Inc. Cardiovascular Disease CurrentSince Apr 1, 2025 Accepting new patients
Prima Care, PC CurrentSince Sep 1, 2014 Accepting new patients
Steward Medical Group, Inc CurrentSince Feb 1, 2013 Accepting new patients
Lahey Clinic, Inc. CurrentSince Oct 1, 2009 Accepting new patients
Steward Medical Group, Inc CurrentSince Feb 1, 2013 Accepting new patients
Caritas Medical Group, Inc. Past Accepting new patients
Jordan Physician Associates, Inc. Past Accepting new patients
Steward St. Anne's Hospital Corporation Past Accepting new patients
Jordan Physician Associates, Inc. Past Accepting new patients
Steward Norwood Hospital, 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) 744-8085

277 Pleasant St
#4
Fall River, MA 02721

795 Middle St
Fall River, MA 02721
Phone (508) 235-5046

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) 729-0500

111 Brewster St
Pawtucket, RI 02860
Phone (401) 729-2000

Interoperability endpoints

  • Direct secure messaging: walhusami11010@direct.bilh.masshiway.net

Organizations & group practices 12

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.

Hospital & facility affiliations 5

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": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1477549988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MALL RD",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018050001",
            "telephone_number": "781-744-8401",
            "fax_number": "781-744-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MALL RD",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "01805",
            "telephone_number": "781-744-8401",
            "fax_number": "781-744-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-HUSAMI",
        "first_name": "WAEL",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "RI",
            "license": "11695",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "220702",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MA",
            "license": "220702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, MA

Sources for this page

Verify at the official NPI Registry.