Individual provider Active NPI

Hani Ibrahim, M.D.

  • Otolaryngology Physician
  • Weymouth, MA
National Provider Identifier
1770508988
Registry record updated Nov 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
204792 Issued in MA
Practice address
825 Main St
Weymouth, MA 02190-1659
Phone
(781) 337-3424
Fax
(781) 337-7569
NPI assigned
Jul 12, 2006
Last updated
Nov 23, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 204792 MA Primary

Addresses

Primary practice location

825 Main St
Weymouth, MA 02190-1659

Mailing address

825 Main St
Weymouth, MA 02190-1659
Phone (781) 337-3424

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
I20110217000745 MA Practitioner - Otolaryngology 8628108651 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Vanderbilt University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

20 Tremont St
Suite 20
Duxbury, MA 02332-5315
Phone (781) 337-3424

243 Charles St
Boston, MA 02114-3002
Phone (617) 523-7900

27 Park St
Hyannis, MA 02601-5230
Phone (508) 771-1800

825 Main St
Weymouth, MA 02190-1659
Phone (781) 337-3424

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
204792MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Oct 8, 2021 Accepting new patients
Massachusetts Eye and Ear Infirmary Current Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Oct 8, 2021 Accepting new patients
Head & Neck Cosmetic Surgery Associates LLC Otolaryngology Past Accepting new patients

Locations

243 Charles St
Boston, MA 02114
Phone (617) 523-7900

800 Huntington Ave
Boston, MA 02115
Phone (617) 525-9544

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

300 Crown Colony Dr
Ste 201
Quincy, MA 02169
Phone (617) 573-3135

Interoperability endpoints

  • Direct secure messaging: ibrahim.hani.meei@direct.partners.masshiway.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290470400000",
    "number": "1770508988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 MAIN ST",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021901659",
            "telephone_number": "781-337-3424",
            "fax_number": "781-340-3782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 MAIN ST",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021901659",
            "telephone_number": "781-337-3424",
            "fax_number": "781-337-7569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "HANI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2010-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MA",
            "license": "204792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weymouth, MA

Sources for this page

Verify at the official NPI Registry.