Individual provider Active NPI

Ammar Humayun, MD

  • Surgery Physician
  • Worcester, MA
National Provider Identifier
1750819272
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MT213557 Issued in PA
Practice address
21 Eastern Ave Ste 3
Worcester, MA 01605-3094
Phone
(508) 556-0223
NPI assigned
May 29, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 1023524 MA
Surgery Physician 208600000X MT213557 PA Primary

Addresses

Primary practice location

21 Eastern Ave Ste 3
Worcester, MA 01605-3094

Mailing address

21 Eastern Ave Ste 3
Worcester, MA 01605-3094
Phone (508) 556-0223

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250616001118 MA Practitioner - Vascular Surgery 4688185887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Vascular Care Group LLCGroup PAC ID 2769871078, 25 clinicians

Practice addresses (Care Compare)

100 Camp St
Hyannis, MA 02601-3063
Phone (508) 775-1984

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1023524MAMDClinical Social Worker
MT213557PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Care Group LLC Vascular Surgery CurrentSince Aug 2, 2025 Accepting new patients
Stephen J. Hoenig, MD, PC Vascular Surgery Past Accepting new patients

Locations

85 Lincoln St
Ste T4002
Framingham, MA 01702
Phone (508) 250-0087

100 Camp St
Hyannis, MA 02601
Phone (508) 775-1984

214 Charlton Rd
Sturbridge, MA 01566
Phone (508) 556-0959

21 Eastern Ave
Ste 3
Worcester, MA 01605
Phone (508) 556-0223

Interoperability endpoints

  • Direct secure messaging: ammar.humayun.1@2915.direct.athenahealth.com

Organizations & group practices 2

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 2

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": "1496016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1750819272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 EASTERN AVE STE 3",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053094",
            "telephone_number": "508-556-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 EASTERN AVE STE 3",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053094",
            "telephone_number": "508-556-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMAYUN",
        "first_name": "AMMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-29",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MA",
            "license": "1023524",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MT213557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.