Individual provider Active NPI

Mohammad Dahrouj, MD., PHD.

  • Ophthalmology Physician
  • Boston, MA
National Provider Identifier
1891180428
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
278738 Issued in MA
Practice address
243 Charles St
Boston, MA 02114-3002
Phone
(617) 573-3288
NPI assigned
Mar 31, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 22949 NH
Ophthalmology Physician 207W00000X 278738 MA Primary

Addresses

Primary practice location

243 Charles St
Boston, MA 02114-3002

Mailing address

243 Charles St
Boston, MA 02114-3002
Phone (617) 573-3288

Other practice location 1

789 Central Ave
Dover, NH 03820-2526
Phone (603) 740-2263

Other identifiers 1

IdentifierTypeStateIssuer
3125461MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI, NH3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20190715001716 MA Practitioner - Ophthalmology 3375863665 Reassigns benefits to 1 organization
I20210608003508 RI Practitioner - Ophthalmology 3375863665 Reassigns benefits to 1 organization
I20221110002219 NH Practitioner - Ophthalmology 3375863665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical University of South Carolina College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Massachusetts Eye and Ear Associates, IncGroup PAC ID 4486540275, shared by 2 NPIs, 430 clinicians

Practice addresses (Care Compare)

1 Randall SQ
Suite 203
Providence, RI 02904-2773
Phone (401) 453-4600

243 Charles St
Boston, MA 02114-3002
Phone (617) 523-7900

Hospital & facility affiliations

  • Massachusetts Eye and Ear Infirmary - Hospital, Boston, MA, CCN 220075
  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
278738MAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Massachusetts Eye and Ear Infirmary Current Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Oct 1, 2022 Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Oct 1, 2022 Accepting new patients
Massachusetts Eye and Ear Associates, Inc. Ophthalmology CurrentSince Jul 1, 2019 Accepting new patients
Massachusetts Eye and Ear Associates, Inc. Ophthalmology CurrentSince Jul 1, 2021 Accepting new patients

Locations

243 Charles St
Boston, MA 02114
Phone (617) 523-7900

30 Man Mar Dr
Ste 2
Plainville, MA 02762
Phone (508) 695-9550

300 Crown Colony Dr
Ste 201
Quincy, MA 02169
Phone (617) 573-3135

1 Montvale Ave
Ste 502
Stoneham, MA 02180
Phone (781) 279-0971

789 Central Ave
#2
Dover, NH 03820
Phone (603) 740-2503

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

1 Randall Sq
Ste 203
Providence, RI 02904
Phone (401) 453-4600

Interoperability endpoints

  • Direct secure messaging: dahrouj.mohammad.meei@direct.partners.masshiway.net

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1891180428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 CHARLES ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143002",
            "telephone_number": "617-573-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 CHARLES ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143002",
            "telephone_number": "617-573-3288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "789 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "038202526",
            "country_code": "US",
            "telephone_number": "603-740-2263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAHROUJ",
        "first_name": "MOHAMMAD",
        "credential": "MD., PHD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-31",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NH",
            "license": "22949",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "278738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3125461",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.