Kamelah Ali Suleiman Abushalha, MD
Individual provider Active NPI Internal Medicine Physician · Framingham, MA
NPI 1760055255 · NPPES record last updated Jul 21, 2021
Key facts
- NPI
- 1760055255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 290007 (MA)
- Practice address
- 115 Lincoln St
Framingham, MA 01702-6358 - Phone
- (508) 383-1000
- NPI assigned
- Jul 21, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240830002003 | MA | Order and Referring Only - Hematology/Oncology |
9436698644 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 290007 | MA | Yes |
Addresses
Primary practice location
115 Lincoln St
Framingham, MA 01702-6358
Mailing address
55 Concord St Apt 321
Framingham, MA 01702-8365
Phone (774) 416-4151
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All providers in Framingham, MA · Internal Medicine Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2021. 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.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.