Active NPI
Ahmed Makhlouf, M.D.
- Psychiatry Physician
- La Jolla, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A176038
- Practice address
- 3252 Holiday CT Ste 205
La Jolla, CA 92037-1808 - Phone
- (858) 255-0663
- NPI assigned
- May 19, 2015
- Last updated
- Sep 11, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 277912 | MA | |
| Psychiatry Physician | 2084P0800X | A176038 | CA | Primary |
| Psychiatry Physician | 2084P0800X | 62579 | MN |
Addresses
Primary practice location
3252 Holiday CT Ste 205
La Jolla, CA 92037-1808
Mailing address
3252 Holiday CT Ste 205
La Jolla, CA 92037-1808
Phone (858) 255-0663
Other practice location 1
14 Porter St
Boston, MA 02128-2116
Phone (617) 569-3189
Other practice location 2
200 1st St SW
Rochester, MN 55905-0001
Phone (507) 284-2511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811376130 | Medicaid | MA |
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
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
60 Fenwood Rd
Boston, MA 02115-6128
Phone (855) 278-8009
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A176038 | CA | MD | Psychiatry Physician |
| 277912 | MA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brigham & Womens Physicians Organization Inc | Current | Accepting new patients | |
| Brigham and Women's Hospital | Current | Accepting new patients | |
| Pratt Psychiatric Associates, Inc | Psychiatry | Current | Accepting new patients |
| Hallmark Health System Inc | Psychiatry | Current | Accepting new patients |
| Melrosewakefield Healthcare, Inc. | Current | Accepting new patients | |
| Melrosewakefield Healthcare, Inc. | Current | Accepting new patients |
Locations
60 Fenwood Rd
Boston, MA 02115
Phone (617) 732-5056
75 Francis St
Boston, MA 02115
800 Washington St
#1013
Boston, MA 02111
Phone (617) 636-0491
1153 Centre St
Jamaica Plain, MA 02130
Phone (617) 983-7000
100 Hospital Rd
Malden, MA 02148
Phone (781) 322-7560
170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000
585 Lebanon St
Melrose, MA 02176
Phone (781) 979-3026
Interoperability endpoints
- amakhlouf136881@tuftsmedicine.direct-ci.com
- makhlouf.ahmed.bwh@direct.partners.masshiway.net
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
-
- General Acute Care Hospital
- Medford, MA
- NPI 1841290467
-
dba Pratt Associates
- Psychiatry Physician
- Boston, MA
- NPI 1245270875
-
- General Acute Care Hospital
- Boston, MA
- NPI 1093885816
-
- Psychiatric Hospital Unit
- Medford, MA
- NPI 1891835351
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1811376130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3252 HOLIDAY CT STE 205",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371808",
"telephone_number": "858-255-0663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3252 HOLIDAY CT STE 205",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371808",
"telephone_number": "858-255-0663"
}
],
"practiceLocations": [
{
"address_1": "14 Porter St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021282116",
"country_code": "US",
"telephone_number": "617-569-3189",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 1st St SW",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "MN",
"postal_code": "559050001",
"country_code": "US",
"telephone_number": "507-284-2511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAKHLOUF",
"first_name": "AHMED",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-19",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "277912",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A176038",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "62579",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1811376130",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.