Individual provider Active NPI

Mazen Ezeldin Hamad, M.D.

  • Family Medicine Physician
  • Cary, NC
National Provider Identifier
1780606855
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3851 Issued in NC
Practice address
222 Ashville Ave
Suite10
Cary, NC 27518-6130
Phone
(919) 233-6000
Fax
(919) 233-6052
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3851 NC Primary

Addresses

Primary practice location

222 Ashville Ave
Suite10
Cary, NC 27518-6130

Mailing address

222 Ashville Ave
Suite10
Cary, NC 27518-6130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20050426000028 NC Practitioner - Family Practice 5496726515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cary Healthcare Associates, P.a.Group PAC ID 2062483225, 9 clinicians

Practice addresses (Care Compare)

222 Ashville Ave
Suite 10
Cary, NC 27518-6130

301 Ashville Ave
Suite 111
Cary, NC 27518-6131
Phone (919) 233-6000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions14
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3851NCMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cary Healthcare Associates, P.a. Family Medicine CurrentSince Feb 23, 2001 Accepting new patients

Locations

301 Ashville Ave
Ste 111
Cary, NC 27518
Phone (919) 233-6000

222 Ashville Ave
Ste 10
Cary, NC 27518
Phone (919) 233-6000

Interoperability endpoints

  • Direct secure messaging: mazenhamad@chanc.allscriptsdirect.net

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260835200000",
    "number": "1780606855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 ASHVILLE AVE",
            "address_2": "SUITE10",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275186130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 ASHVILLE AVE",
            "address_2": "SUITE10",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275186130",
            "telephone_number": "919-233-6000",
            "fax_number": "919-233-6052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMAD",
        "first_name": "MAZEN",
        "middle_name": "EZELDIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2009-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "3851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.