Active NPI
Ibtehal Kimawi, MBBS
- Physical Medicine & Rehabilitation Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 294519
- Practice address
- 725 Albany Street, Suite 4B
Department of Orthopedic Surgery, Shapiro Buidling
Boston, MA 02118 - Phone
- (617) 638-5633
- NPI assigned
- Apr 13, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 294519 | MA | Primary |
Addresses
Primary practice location
725 Albany Street, Suite 4B
Department of Orthopedic Surgery, Shapiro Buidling
Boston, MA 02118
Mailing address
801 Albany St FL G
Boston, MA 02119-3791
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221229002047 | MA | Practitioner - Physical Medicine and Rehabilitation | 6709171085 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Boston University Orthopaedic Surgical Associates IncIntegrated Rehab Consultants LLC
Practice addresses (Care Compare)
1 Boston Medical Ctr PL
Boston, MA 02118-2908
Phone (617) 638-5633
204 Proctor Ave
Revere, MA 02151-4923
Phone (312) 635-0973
725 Albany St
Boston, MA 02118-2526
Phone (617) 638-5633
Hospital & facility affiliations
- Boston Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Medical Center Corporation | Current | Accepting new patients | |
| Boston University Orthopaedic Surgical Associates, Inc. | Current | Accepting new patients | |
| Boston University Family Medicine, Inc. | Past | Accepting new patients |
Locations
725 Albany St
Ste 4B
Boston, MA 02118
Phone (617) 638-5633
725 Albany St
Fl 4
Boston, MA 02118
Phone (617) 638-5633
801 Albany St
Fl G
Roxbury, MA 02119
Interoperability endpoints
- ikimawi177428@direct.bmc.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.
-
- Orthopaedic Surgery Physician
- Boston, MA
- NPI 1164460580
MA
-
- Physical Medicine & Rehabilitation Physician
- Chicago, IL
- NPI 1528379195
MA
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
-
- Family Medicine Physician
- Boston, MA
- NPI 1134166390
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Health Clinic/Center
- South Boston, MA
- NPI 1225228679
Hospital
-
- Community Health Clinic/Center
- Roslindale, MA
- NPI 1386718823
Hospital
-
- Community Health Clinic/Center
- Dorchester, MA
- NPI 1780874677
Hospital
-
- Community Health Clinic/Center
- East Boston, MA
- NPI 1861683518
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668729600000",
"number": "1831553007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 ALBANY ST FL G",
"city": "BOSTON",
"state": "MA",
"postal_code": "021193791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 ALBANY STREET, SUITE 4B",
"address_2": "DEPARTMENT OF ORTHOPEDIC SURGERY, SHAPIRO BUIDLING",
"city": "BOSTON",
"state": "MA",
"postal_code": "02118",
"telephone_number": "617-638-5633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMAWI",
"first_name": "IBTEHAL",
"credential": "MBBS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-13",
"last_updated": "2022-11-18",
"certification_date": "2022-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MA",
"license": "294519",
"primary": true
}
],
"identifiers": [],
"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 Nov 18, 2022; 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.