Individual provider Active NPI

Ahmed M. Atia, MD

  • Pain Medicine (Anesthesiology) Physician
  • Stoughton, MA
National Provider Identifier
1508827593
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
216741 Issued in MA
Practice address
907 Sumner St
M201
Stoughton, MA 02072
Phone
(508) 941-7000
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 216741 MA Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X MD11089 RI

Addresses

Primary practice location

907 Sumner St
M201
Stoughton, MA 02072

Mailing address

907 Sumner St M201
Guardian Anesthesia Inc
Stoughton, MA 02072
Phone (781) 344-2325

Other identifiers 23

IdentifierTypeStateIssuer
410922OtherRIBLUECHIP
611000600OtherDOL
AA30366OtherMAHPHC
30902OtherRIBCBS
7010560MedicaidRI
8983845OtherCIGNA
AA47844OtherMAHPHC
464616OtherMATUFTS
6110000600OtherMADOL
67400OtherMAFALLON
7017564OtherMAAETNA
7017564OtherAETNA
J27035OtherMABCBS
46416OtherMATUFTS
J27035OtherBCBS
20270527002OtherTRICARE
AA47844OtherHPHC
202010504OtherUNITEDHEALTH
202705274OtherUNITEDHEALTH
202705274OtherGREAT WEST
2038251MedicaidMA
97252802OtherNETWORK HEALTH
31395OtherRINEIGBORHOOD HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040423001240 MA Practitioner - AnesthesiologyPractitioner - Pain Management 9638165640 Reassigns benefits to 4 organizations
I20060228000644 RI Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 9638165640 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Matrix Anesthesia PCGroup PAC ID 8820136377, 52 clinicians

Practice addresses (Care Compare)

680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7642

Hospital & facility affiliations

  • Signature Healthcare Brockton Hospital Hospital, Brockton, MA, CCN 220052

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD11089RIMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Mar 6, 2023 Accepting new patients
Signature Healthcare Medical Group Inc CurrentSince Oct 15, 2016 Accepting new patients
Steward Medical Group, Inc CurrentSince Mar 6, 2023 Accepting new patients
Matrix Anesthesia, PC Pain Medicine CurrentSince Oct 4, 2011 Accepting new patients
Southbridge Interventional Pain,Inc Pain Medicine CurrentSince Mar 1, 2013 Accepting new patients
Providence Interventional Pain,LLC Pain Medicine CurrentSince Feb 1, 2014 Accepting new patients
Anesthetics of Massachusetts, PC Pain Medicine Past Accepting new patients
Jordan Hospital Anesthesia Associates, PC Past Accepting new patients
New England Pain Associates, P.C. Pain Medicine Past Accepting new patients

Locations

138 Haverhill St
Andover, MA 01810
Phone (978) 296-2302

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

140 Lincoln Ave
Haverhill, MA 01830
Phone (978) 374-2000

800 Washington St
Norwood, MA 02062
Phone (781) 278-6264

114 Whitwell St
Quincy, MA 02169
Phone (617) 376-4018

907 Sumner St
Ste M201
Stoughton, MA 02072

907 Sumner St
#M201
Stoughton, MA 02072
Phone (781) 923-6434

48 Main St
Sturbridge, MA 01566
Phone (508) 347-8141

20 Cumberland Hill Rd
Woonsocket, RI 02895
Phone (401) 597-0985

Interoperability endpoints

  • Direct secure messaging: ahmed.atia@direct.signature.masshiway.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/JJGGCA

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1508827593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 SUMNER ST M201",
            "address_2": "GUARDIAN ANESTHESIA INC",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "02072",
            "telephone_number": "781-344-2325",
            "fax_number": "781-341-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 SUMNER ST",
            "address_2": "M201",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "02072",
            "telephone_number": "508-941-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATIA",
        "first_name": "AHMED",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MA",
            "license": "216741",
            "primary": true
        },
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            "taxonomy_group": "",
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        }
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            "identifier": "7010560",
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            "issuer": "CIGNA",
            "identifier": "8983845",
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            "identifier": "6110000600",
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        },
        {
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            "issuer": "FALLON",
            "identifier": "67400",
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        },
        {
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            "issuer": "AETNA",
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        {
            "code": "01",
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            "issuer": "TUFTS",
            "identifier": "46416",
            "state": "MA"
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        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J27035",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "20270527002",
            "state": null
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        {
            "code": "01",
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            "issuer": "HPHC",
            "identifier": "AA47844",
            "state": null
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            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTH",
            "identifier": "202010504",
            "state": null
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        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTH",
            "identifier": "202705274",
            "state": null
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        {
            "code": "01",
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            "issuer": "GREAT WEST",
            "identifier": "202705274",
            "state": null
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        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2038251",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "97252802",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGBORHOOD HEALTH",
            "identifier": "31395",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoughton, MA

Sources for this page

Verify at the official NPI Registry.