Abdelrahman Ibrahim Ali Abushouk, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Boston, MA
NPI 1619662129 · NPPES record last updated Jun 15, 2026
Key facts
- NPI
- 1619662129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 75 Francis St
Boston, MA 02115-6106 - Phone
- (617) 732-5500
- NPI assigned
- Apr 10, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- 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 |
|---|---|---|---|---|
| I20230629002773 | CT | Order and Referring Only - Internal Medicine |
6800255423 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Interoperability endpoints
- aabushouk616072@direct.ynhh.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
75 Francis St
Boston, MA 02115-6106
Mailing address
75 Francis St
Boston, MA 02115-6106
Phone (617) 732-5500
Other providers in Boston, MA
- Rewa Abulhamayel
- Gayda Abulshamat
- Abdelrhman Abumoawad
- Nariman Abunijmeh
- Ibrahim Abushoshah
- Stephanie M Abuso
- Miassar Abutabikh
- Ghazi Abuzarifah
- Samar Abuzinadah
- Academic Research Corporation
All providers in Boston, MA · Student in an Organized Health Care Education/Training Program in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2026. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.