Active NPI
Nisrine Iskandar Atieh, M.D
- Pediatrics Physician
- Boston, MA
National Provider Identifier
1790981009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD12512
- Practice address
- 75 Francis St
Brigham and Women'S Hospital
Boston, MA 02115-6110 - Phone
- (617) 732-5500
- NPI assigned
- Jun 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 229654 | MA | |
| Pediatrics Physician | 208000000X | MD12512 | RI | Primary |
Addresses
Primary practice location
75 Francis St
Brigham and Women'S Hospital
Boston, MA 02115-6110
Mailing address
36 Mary St
Attleboro, MA 02703-3749
Phone (508) 455-2832
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA69593 | Medicaid | RI |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 229654 | MA | MD | Pediatrics Physician |
| MD12512 | RI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brigham and Women'S Hospital | Current | Accepting new patients | |
| Memorial Hospital | Past | Accepting new patients | |
| Brigham & Womens Hospital, Inc. | Past | Accepting new patients |
Locations
75 Francis St
Boston, MA 02115
Interoperability endpoints
- atieh.nisrine.bwh@direct.partners.masshiway.net
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
-
- General Acute Care Hospital
- Boston, MA
- NPI 1093885816
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- General Acute Care Hospital
- Pawtucket, RI
- NPI 1548696941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390867200000",
"number": "1790981009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 MARY ST",
"city": "ATTLEBORO",
"state": "MA",
"postal_code": "027033749",
"telephone_number": "508-455-2832",
"fax_number": "508-455-2832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 FRANCIS ST",
"address_2": "BRIGHAM AND WOMEN'S HOSPITAL",
"city": "BOSTON",
"state": "MA",
"postal_code": "021156110",
"telephone_number": "617-732-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATIEH",
"first_name": "NISRINE",
"middle_name": "ISKANDAR",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-23",
"last_updated": "2014-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "229654",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "RI",
"license": "MD12512",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NA69593",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.