Individual provider Active NPI

Ali Mahmoud Abu Al Hummos, MD

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1497867865
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
T2006014649 Issued in MO
Practice address
416 E 13TH St
Apartment 3 E
New York, NY 10009-3713
Phone
(573) 864-1848
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X T2006014649 MO Primary

Addresses

Primary practice location

416 E 13TH St
Apartment 3 E
New York, NY 10009-3713

Mailing address

416 E 13TH St
Apartment 3 E
New York, NY 10009-3713
Phone (573) 864-1848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20151208002071 CA Practitioner - Psychiatry 2062546500 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T2006014649MOMDPsychiatry Physician

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1497867865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 E 13TH ST",
            "address_2": "APARTMENT 3 E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100093713",
            "telephone_number": "573-864-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 E 13TH ST",
            "address_2": "APARTMENT 3 E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100093713",
            "telephone_number": "573-864-1848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABU AL HUMMOS",
        "first_name": "ALI",
        "middle_name": "MAHMOUD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "T2006014649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.