Individual provider Active NPI

Mahmoud Al Masry, M.D

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Andover, MA
National Provider Identifier
1851694889
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X
License
273617 Issued in MA
Practice address
138 Haverhill St
Andover, MA 01810-1509
Phone
(978) 475-2880
NPI assigned
Dec 14, 2010
Last updated
Sep 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2018-01283 NC
Neurology Physician 2084N0400X 274620 NY
Neurology Physician 2084N0400X MD20560 RI
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X 273617 MA Primary

Addresses

Primary practice location

138 Haverhill St
Andover, MA 01810-1509

Mailing address

3920 Mystic Valley Pkwy Apt 1113
Medford, MA 02155-6911
Phone (317) 850-6081

Other practice location 1

4420 Lake Boone Trl
Raleigh, NC 27607-7505
Phone (919) 784-3100

Other practice location 2

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (972) 449-0540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MN, NC, VA, MA, PA, WI, MD, MI, OH, RI, DC, NH, DE14 enrollments
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 14

Enrollment IDStateProvider typePAC IDDetails
I20140814000196 NY Practitioner - Neurology 8628295730 Reassigns benefits to 1 organization
I20180221002713 MN Practitioner - Neurology 8628295730 Reassigns benefits to 2 organizations
I20180716002621 NC Practitioner - Neurology 8628295730 Reassigns benefits to 4 organizations
I20230717001610 VA Practitioner - Neurology 8628295730 Reassigns benefits to 1 organization
I20230724000673 MA Practitioner - Neurology 8628295730 Reassigns benefits to 5 organizations
I20230811000804 PA Practitioner - Neurology 8628295730 Reassigns benefits to 1 organization
I20241204003304 WI Practitioner - Neurology 8628295730 Reassigns benefits to 1 organization
I20250103001481 MD Practitioner - Neurology 8628295730 Reassigns benefits to 1 organization
I20250107002191 MI Practitioner - Neurology 8628295730 Reassigns benefits to 1 organization
I20250114003219 OH Practitioner - Neurology 8628295730 Reassigns benefits to 1 organization
I20250327001022 RI Practitioner - Neurology 8628295730 Reassigns benefits to 1 organization
I20250421000333 DC Practitioner - Neurology 8628295730 Reassigns benefits to 1 organization
I20250624000245 NH Practitioner - Neurology 8628295730 Reassigns benefits to 1 organization
I20260113002233 DE Practitioner - Neurology 8628295730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians
LGH Medical Group, Inc.Group PAC ID 3173626751, 165 clinicians
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians

Practice addresses (Care Compare)

Canton, MA 02021
Phone (972) 449-0540

Marilla, NY 14102
Phone (972) 449-0540

MC Lean, VA 22101
Phone (972) 449-0450

1 Guthrie Dr
Corning, NY 14830-3696
Phone (972) 449-0540

1 Guthrie SQ
Sayre, PA 18840-1625
Phone (972) 449-0540

100 E Carroll St
Salisbury, MD 21801-5422
Phone (972) 449-0540

1000 Caromont Pkwy
Belmont, NC 28012-0140
Phone (972) 449-0540

1053 Lindell Ave
Petoskey, MI 49770-3231
Phone (972) 449-0540

112 E 5TH Ave
Antigo, WI 54409-2710
Phone (972) 449-0540

1135 Carthage St
Sanford, NC 27330-4162
Phone (972) 449-0540

13314 Sunny Brooke PL
Potomac, MD 20854-6392
Phone (972) 449-0540

134 Homer Ave
Cortland, NY 13045-1206
Phone (972) 449-0540

135 S Gibson St
Medford, WI 54451-1622
Phone (972) 449-0540

1500 N James St
Rome, NY 13440-2844
Phone (972) 449-0540

159 Hartley Way
Pearisburg, VA 24134-2471
Phone (972) 449-0540

168 Kinsley St
Nashua, NH 03060-3634
Phone (978) 687-2321

188 Kitdare Dr
Delaware, OH 43015-7076
Phone (972) 449-0540

1980 Crompond Rd
Cortlandt Manor, NY 10567-4144
Phone (972) 449-0540

20 Powell Ave
Newport, RI 02840-2299
Phone (972) 449-0540

200 E State St
Alliance, OH 44601-4936
Phone (972) 449-0540

2000 Neuse Blvd
New Bern, NC 28560-3449
Phone (972) 449-0540

2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 847-1757

215 Brightwater Dr
Lillington, NC 27546-5156
Phone (972) 449-0540

2525 Court Dr
Gastonia, NC 28054-2140
Phone (972) 449-0540

262 Leroy George Dr
Clyde, NC 28721-7430
Phone (972) 449-0540

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018-01283NCMDNeurology Physician
MD20560RIMDNeurology Physician
273617MAMDPain Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Hospital of Duluth CurrentSince Jun 20, 2020 Accepting new patients
Zenith Pain & Neurological Care PLLC Neurology CurrentSince Oct 1, 2024 Accepting new patients
Moses Cone Physician Services, Inc. Current Accepting new patients
Moses Cone Physician Services, Inc. CurrentSince Feb 22, 2022 Accepting new patients
LGH Medical Group, Inc. CurrentSince Jun 1, 2025 Accepting new patients
North Carolina MG, LLC Neurology CurrentSince Jul 1, 2025 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Feb 22, 2022 Accepting new patients
Steward Medical Group, Inc CurrentSince Jul 16, 2023 Accepting new patients
Vidant Medical Group LLC CurrentSince Oct 8, 2018 Accepting new patients
Vidant Medical Group LLC CurrentSince Oct 8, 2018 Accepting new patients
Steward Medical Group, Inc CurrentSince Jul 16, 2023 Accepting new patients
St. Luke's Hospital of Duluth Neurology CurrentSince Jun 20, 2020 Accepting new patients
Access Telecare California, P.C. Neurology CurrentSince Sep 23, 2023 Accepting new patients
St. Luke's Hospital of Duluth Current Accepting new patients
LGH Professional Services LLC Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

138 Haverhill St
Andover, MA 01810
Phone (978) 296-2302

200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

248 Mill Rd
Chelmsford, MA 01824
Phone (317) 850-6081

25 Fletcher St
Ste 1
Chelmsford, MA 01824

140 Lincoln Ave
Haverhill, MA 01830
Phone (978) 374-2000

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

354 Merrimack St
Lawrence, MA 01843
Phone (978) 688-3898

295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344

70 East St
Methuen, MA 01844
Phone (978) 682-1906

1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860

915 E 1st St
Duluth, MN 55805
Phone (218) 249-5352

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

168 Kinsley St
Nashua, NH 03060
Phone (603) 578-9363

168 Kinsley St
Ste 1
Nashua, NH 03060
Phone (603) 882-2114

1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512

Interoperability endpoints

  • Direct secure messaging: malmasry27717@direct.xtensys.com
  • Direct secure messaging: malmasry430913@direct.unc.nchie.net

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 6

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": "1292284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1851694889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 MYSTIC VALLEY PKWY APT 1113",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021556911",
            "telephone_number": "317-850-6081",
            "fax_number": "336-277-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 HAVERHILL ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018101509",
            "telephone_number": "978-475-2880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4420 Lake Boone Trl",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276077505",
            "country_code": "US",
            "telephone_number": "919-784-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 Toll Gate Rd",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028862759",
            "country_code": "US",
            "telephone_number": "972-449-0540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AL MASRY",
        "first_name": "MAHMOUD",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-14",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2018-01283",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "274620",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "RI",
            "license": "MD20560",
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "MA",
            "license": "273617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, MA

Sources for this page

Verify at the official NPI Registry.