NPIMap

Individual provider Active NPI

Abdallah O Gad

  • Internal Medicine Physician
  • Lowell, MA
National Provider Identifier
1710330709
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
278375 Issued in MA
Practice address
1 Hospital Dr
Lowell, MA 01852-1311
Phone
(978) 937-6000
NPI assigned
Jul 14, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 278375 MA Primary

Addresses

Primary practice location

1 Hospital Dr
Lowell, MA 01852-1311

Mailing address

PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885

Other practice location 1

60 Hospital Rd
Leominster, MA 01453-2205
Phone (978) 466-4169

Other identifiers 1

IdentifierTypeStateIssuer
278375OtherMAINTERNAL MEDICINE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190827002864 MA Practitioner - Internal MedicinePractitioner - Hospitalist 6305132788 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lowell General Inpatient Specialists PLLCGroup PAC ID 8729371380, 70 clinicians
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians

Practice addresses (Care Compare)

295 Varnum Ave
Lowell, MA 01854-2134
Phone (978) 937-6439

60 Hospital Rd
Leominster, MA 01453-2205
Phone (978) 466-2257

Hospital & facility affiliations

  • Health Alliance Home Health and Hospice Hospice, Leominster, MA, CCN 221524
  • Umass Memorial Healthalliance Hospitals Hospital, Leominster, MA, CCN 220001
  • Lowell General Hospital Hospital, Lowell, MA, CCN 220063
  • Umass Memorial Medical Center/University Campus Hospital, Worcester, MA, CCN 220163
  • Tufts Medical Center Hospital, Boston, MA, CCN 220116

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Marlborough Hospitalist Group, PLLC CurrentSince Mar 1, 2024 Accepting new patients
Lowell General Inpatient Specialists PLLC Internal Medicine CurrentSince Jul 8, 2019 Accepting new patients
Umass Memorial Medical Group Inc Internal Medicine Current Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Jun 17, 2024 Accepting new patients
Emerson Practice Associates, Inc. Internal Medicine CurrentSince Jul 12, 2024 Accepting new patients
Umass Memorial Healthalliance Clinton Hospital Inc Past Accepting new patients
The Lowell General Hospital Past Accepting new patients

Locations

133 Ornac
Concord, MA 01742
Phone (978) 287-3000

60 Hospital Rd
Leominster, MA 01453
Phone (978) 466-2000

1 Hospital Dr
Lowell, MA 01852
Phone (978) 687-0156

295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344

157 Union St
Marlborough, MA 01752
Phone (508) 481-5000

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

1 Harbison Way
Ste 222
Columbia, SC 29212

Interoperability endpoints

  • Direct secure messaging: agad31714@tuftsmedicine.direct-ci.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/d04f75c7-2a62-4686-b520-7bf0635f38f0/

Organizations & group practices 7

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 6

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": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1710330709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415348",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415348",
            "telephone_number": "800-225-8885",
            "fax_number": "508-334-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521311",
            "telephone_number": "978-937-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Leominster",
            "state": "MA",
            "postal_code": "014532205",
            "country_code": "US",
            "telephone_number": "978-466-4169",
            "fax_number": "978-466-4017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAD",
        "first_name": "ABDALLAH",
        "middle_name": "O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-14",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "278375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNAL MEDICINE",
            "identifier": "278375",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.