NPIMap

Organization Active NPI

Medical Circle of America PLLC

  • Anesthesiology Physician
  • Shrewsbury, MA
National Provider Identifier
1871036020
Registry record updated Mar 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MEDICAL CIRCLE OF AMERICA PLLC
Practice address
59 N Quinsigamond Ave
Shrewsbury, MA 01545-5143
Phone
(774) 633-6793
Fax
(888) 976-3637
NPI assigned
Nov 21, 2016
Last updated
Mar 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2025

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

Authorized official

Name
Dr. Haytham Mohamed, MDNPI 1700868627
Title
President
Phone
(774) 633-6793

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

59 N Quinsigamond Ave
Shrewsbury, MA 01545-5143

Mailing address

59 N Quinsigamond Ave
Shrewsbury, MA 01545-5143
Phone (774) 633-6793

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181005000556 MA Part B Supplier - Clinic/Group Practice 7911259718 Receives reassigned benefits from 11 practitioners
Practice locations: Adams, MA

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23183/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741392000000",
    "number": "1871036020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 N QUINSIGAMOND AVE",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015455143",
            "telephone_number": "774-633-6793",
            "fax_number": "888-976-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 N QUINSIGAMOND AVE",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015455143",
            "telephone_number": "774-633-6793",
            "fax_number": "888-976-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CIRCLE OF AMERICA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2025-03-08",
        "certification_date": "2025-03-08",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "HAYTHAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "774-633-6793",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.