Haytham S. Mohamed, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

224372 Issued in MA

Practice address

55 Lake Ave N
Department of Anesthesiology
Worcester, MA 01655-0002

Phone

(508) 334-3271

Fax

(508) 856-5911

NPI assigned

Nov 16, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Anesthesiology

Education

Other, 1995

Medicare assignment

May accept Medicare assignment

Group practices

Medical Circle of America PLLCGroup PAC ID 7911259718, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• goperspecta network organization-21861

Interoperability endpoints

• Direct secure messaging: haythammohamed@mcoa.kareodirect.com
• Direct secure messaging: hmohamed43592@direct.southcoast.org
• FHIR API: https://api.platform.athenahealth.com/23183/brand/1/csg/1/fhir/r4

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.

• Medical Circle of America PLLC

  • Anesthesiology Physician
  • Shrewsbury, MA
  • NPI 1871036020
  Medicare reassignment Care Compare group NPD Authorized official
• Amsurg Mdsine Anesthesia LLC

  • Anesthesiology Physician
  • Springfield, MA
  • NPI 1932521366
  Medicare reassignment NPD
• Anesthesia Professionals, Inc.

  • Certified Registered Nurse Anesthetist
  • Dartmouth, MA
  • NPI 1659346443
  Medicare reassignment NPD
• Lowell Anesthesia Associates PLLC

  • Certified Registered Nurse Anesthetist
  • Lowell, MA
  • NPI 1063938934
  Medicare reassignment NPD
• North American Partners in Anesthesia Massachusetts LLC

  • Anesthesiology Physician
  • Fall River, MA
  • NPI 1457867020
  Medicare reassignment NPD
• Pioneer Sedation PLLC

  • Certified Registered Nurse Anesthetist
  • Springfield, MA
  • NPI 1154886810
  Medicare reassignment NPD
• Southcoast Physicians Group, Inc.

  • Family Medicine Physician
  • Fairhaven, MA
  • NPI 1336137629
  Medicare reassignment NPD
• Uhs of Westwood Pembroke Inc

  • Psychiatric Hospital
  • Westwood, MA
  • NPI 1760453328
  Medicare reassignment NPD
• Narragansett Bay Anesthesia, LLC

  • Anesthesiology Physician
  • Warwick, RI
  • NPI 1861445728

  MA

  Medicare reassignment NPD
• Southcoast Physicians Group, Inc.

  • Orthopaedic Surgery Physician
  • North Dartmouth, MA
  • NPI 1902201536
  NPD
• Cataract and Laser Center Associates PC

  • Ambulatory Surgical Clinic/Center
  • Adams, MA
  • NPI 1477655801
  NPD (past)
• Umass Memorial Medical Group Inc

  • Internal Medicine Physician
  • Worcester, MA
  • NPI 1760445373

  Anesthesiology

  NPD (past)

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388966400000",
    "number": "1700868627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 N QUINSIGAMOND AVE",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015455143",
            "telephone_number": "774-745-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 LAKE AVE N",
            "address_2": "DEPARTMENT OF ANESTHESIOLOGY",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016550002",
            "telephone_number": "508-334-3271",
            "fax_number": "508-856-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "HAYTHAM",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2014-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "224372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2105322",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pooja Modi
• Elinor A Mody, MD
• Stephanie Madeline Moffat
• Abdilahi A Mohamed, PHARM.D
• Ahmed Mohamed, M.D.
• Hussein Ibrahim Mohamed Sr.
• Passant Hassan Ibrahim Hassa Mohamed, MD
• Mohammed Mohaialdeen Mohammed, M.D
• Muhaiminu Mohammed
• Shaymaa Mohammed

• Anesthesiology Physician in Worcester, MA
• Providers in Worcester, MA by specialty
• Anesthesiology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.