Talal Al-Otaibi, MD

Primary specialty

Magnetic Resonance Imaging (MRI) Internal Medicine PhysicianTaxonomy code 207RM1200X

License

277387 Issued in MA

Practice address

185 Pilgrim Rd FL Baker4
Boston, MA 02215-5324

Phone

(617) 667-8800

Fax

(617) 975-5480

NPI assigned

Feb 26, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1699232777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 PILGRIM RD FL BAKER4",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155324",
            "telephone_number": "617-667-8800",
            "fax_number": "617-975-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 PILGRIM RD FL BAKER4",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155324",
            "telephone_number": "617-667-8800",
            "fax_number": "617-975-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-OTAIBI",
        "first_name": "TALAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RM1200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Magnetic Resonance Imaging (MRI)",
            "state": "MA",
            "license": "277387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fatima Al-Maadid, MD
• Azd Al-Mashal
• Sarah Rose Al-Mayahi, DMD
• Ossama Al-Mefty, MD
• Ramzi A Al-Mohammadi, RAMZI AL-MOHAMMADI
• Salem Al-Qabandi, DMD
• Fawzi M Al-Qatami, DMD
• Heba M Al-Qatami, DMD
• Hakam Al-Samarrai, D.M.D.
• Hanny Toban Al-Samkari, MD

• Internal Medicine Physician in Boston, MA
• Providers in Boston, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.