NPIMap

Individual provider Active NPI

Mussa Mohamed, MD

  • Surgery Physician
  • Boston, MA
National Provider Identifier
1770993172
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
277073 Issued in MA
Practice address
55 Fruit St
Boston, MA 02114-2621
Phone
(617) 724-8655
NPI assigned
May 7, 2014
Last updated
Jun 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X 277073 MA Primary
General Practice Physician 208D00000X 291729 NY
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 277073 MA

Addresses

Primary practice location

55 Fruit St
Boston, MA 02114-2621

Mailing address

550 1St Ave
New York, NY 10016-6402
Phone (617) 888-4178

Other practice location 1

70 Fulton St
Boston, MA 02109-1402
Phone (617) 843-5001

Other practice location 2

550 1st Ave
New York, NY 10016-6402
Phone (617) 888-4178

Other practice location 3

70 Fulton St
Boston, MA 02109-1402
Phone (617) 843-5001

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
I20190522000649 MA Practitioner - Internal MedicinePractitioner - General Surgery 3173883774 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: General Surgery
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8 Longmeadow Rd
Newton, MA 02459-3427
Phone (617) 888-4178

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
277073MAMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation General Practice CurrentSince Jun 1, 2022 Accepting new patients
Skilled Facility Health Care Solutions Inc Surgery CurrentSince Feb 17, 2020 Accepting new patients
Massachusetts Acute Care Specialists PC CurrentSince Mar 12, 2020 Accepting new patients
Vantage Healthcare LLC CurrentSince Nov 23, 2020 Accepting new patients
Massachusetts General Physicians Organization Inc Surgery CurrentSince Jun 1, 2022 Accepting new patients
Apollonia Health Care LLC Hospice and Palliative Medicine CurrentSince Apr 13, 2022 Accepting new patients
Healthplus LLC CurrentSince Oct 4, 2020 Accepting new patients
Hellenic Womens Benevolent Association Inc Past Accepting new patients
Adviniacare Newton Wellesley LLC Past Accepting new patients
Chestnut Woods Operator LLC Past Accepting new patients

Locations

3746 Foothill Blvd
La Crescenta, CA 91214
Phone (323) 574-0387

44 School St
Rm 325
Boston, MA 02108
Phone (508) 831-8558

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

70 Fulton St
Boston, MA 02109
Phone (617) 726-9700

227 Babcock St
Brookline, MA 02446
Phone (617) 731-3200

45 Dan Rd
Canton, MA 02021
Phone (781) 318-3609

170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000

10 Veterans Memorial Dr
Milford, MA 01757
Phone (508) 473-6414

451 Andover St
Ste 110
North Andover, MA 01845
Phone (978) 794-2000

Organizations & group practices 10

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 7

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": "1399420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1770993172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402",
            "telephone_number": "617-888-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "617-724-8655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Fulton St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021091402",
            "country_code": "US",
            "telephone_number": "617-843-5001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 1st Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100166402",
            "country_code": "US",
            "telephone_number": "617-888-4178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 Fulton St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021091402",
            "country_code": "US",
            "telephone_number": "617-843-5001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "MUSSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-07",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "277073",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "291729",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "MA",
            "license": "277073",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.