Individual provider Active NPI

Mamdouh M Riad, M.D.

  • Specialist
  • Hyannis, MA
National Provider Identifier
1811920333
Registry record updated Mar 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
76855 Issued in MA
Practice address
700 Attucks LN
Hyannis, MA 02601-1809
Phone
(800) 622-3045
Fax
(508) 865-1109
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 76855 MA Primary

Addresses

Primary practice location

700 Attucks LN
Hyannis, MA 02601-1809

Mailing address

700 Attucks LN
Hyannis, MA 02601-1809
Phone (800) 622-3045

Other identifiers 2

IdentifierTypeStateIssuer
J13085OtherMABLUE SHIELD
3103765MedicaidMA

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
I20040421001449 MA Practitioner - Internal Medicine 2264428630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.1 of 100Reported as individual
Quality
84.54
Promoting interoperability
100
Improvement activities
40
Cost
78.88

National Provider Directory

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

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364515200000",
    "number": "1811920333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ATTUCKS LN",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026011809",
            "telephone_number": "800-622-3045",
            "fax_number": "508-865-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 ATTUCKS LN",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026011809",
            "telephone_number": "800-622-3045",
            "fax_number": "508-865-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIAD",
        "first_name": "MAMDOUH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2013-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "76855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "J13085",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3103765",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.