Ibrahim Abdulmassih, D.C.
Individual provider Active NPI Chiropractor · Worcester, MA
NPI 1740329317 · NPPES record last updated Feb 22, 2011
Key facts
- NPI
- 1740329317
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2618 (MA)
- Practice address
- 342 Greenwood St
Worcester, MA 01607-1729 - Phone
- (508) 798-3000
- Fax
- (508) 798-4000
- NPI assigned
- Feb 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Central States College of Physiatrics and Chiropractic, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
342 Greenwood St
Worcester, MA 01607-1729
Phone (508) 798-3000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040511000641 | MA | Practitioner - Chiropractic | 8224027552 | Practice locations: Worcester, MA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2618 | MA | MD | Electroneurodiagnostic Specialist/Technologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2618 | MA | Yes |
Addresses
Primary practice location
342 Greenwood St
Worcester, MA 01607-1729
Mailing address
342 Greenwood St
Worcester, MA 01607-1729
Phone (508) 798-3000
Other providers in Worcester, MA
- Houda Abdelrahman
- Kimberly Beth Abdow
- Elisa Abdulhayoglu
- Bassma Abdulky
- Faiza Mohammed Abdulla
- Luqman Abdur-Rauf
- Kayla Marie Abeling
- Richard Bernard Abelli
- Scott Abernathy
- Margarita Abi Zeid Daou
All providers in Worcester, MA · Chiropractor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2011. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.