NPIMap

Individual provider Active NPI

Hany Mistikawy, M.D.

  • Internal Medicine Physician
  • Fall River, MA
National Provider Identifier
1851399034
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
151085 Issued in MA
Practice address
289 Pleasant St
Suite 404
Fall River, MA 02721-3005
Phone
(508) 679-2265
NPI assigned
Jul 12, 2005
Last updated
Apr 2, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 151085 MA Primary

Addresses

Primary practice location

289 Pleasant St
Suite 404
Fall River, MA 02721-3005

Mailing address

289 Pleasant St
Suite 404
Fall River, MA 02721-3005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050309000689 MA Practitioner - Internal Medicine 6204880586 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prima Care, PCGroup PAC ID 2567356017, 222 clinicians

Practice addresses (Care Compare)

277 Pleasant St
Fall River, MA 02721-3005

289 Pleasant St
Fall River, MA 02721-3005

67 Slade's Ferry Boulevard
Somerset, MA 02726-1220
Phone (508) 676-3292

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prima Care, PC CurrentSince Jul 15, 1996 Accepting new patients
Prima Care, PC CurrentSince Jul 15, 1996 Accepting new patients
Steward St. Anne's Hospital Corporation CurrentSince Sep 13, 2017 Accepting new patients
Southcoast Hospitals Group, Inc Current Accepting new patients
Southcoast Hospitals Group Inc CurrentSince Jul 19, 1996 Accepting new patients
Southcoast Hospitals Group, Inc CurrentSince Jul 19, 1996 Accepting new patients
Pai Participant Ma PC CurrentSince Nov 1, 2025 Accepting new patients
Mill Brook Operator LLC Past Accepting new patients
Southpointe Rehab Center, LLC Past Accepting new patients
Somerset Ridge SNF Operations BHC Past Accepting new patients

Locations

111 Orient Ave
East Boston, MA 02128
Phone (617) 569-1200

222 Milliken Blvd
Fall River, MA 02721
Phone (508) 672-7525

235 Hanover St
Ste A2
Fall River, MA 02720
Phone (508) 675-4100

277 Pleasant St
Fl 4
Fall River, MA 02721
Phone 50867632921244

289 Pleasant St
#404
Fall River, MA 02721

289 Pleasant St
Ste 404
Fall River, MA 02721
Phone (508) 679-2265

363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052

795 Middle St
Fall River, MA 02721
Phone (508) 235-5046

874 Purchase St
New Bedford, MA 02740
Phone (508) 992-6553

67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400

Interoperability endpoints

  • Direct secure messaging: hany.mistikawy@prima.eclinicaldirectplus.com

Organizations & group practices 10

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1851399034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 PLEASANT ST",
            "address_2": "SUITE 404",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 PLEASANT ST",
            "address_2": "SUITE 404",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213005",
            "telephone_number": "508-679-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISTIKAWY",
        "first_name": "HANY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "151085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.