Ibrahim Joulak, M.D., FACOG

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

234420 Issued in MA

Practice address

60 East St Ste 1100
Methuen, MA 01844-4547

Phone

(978) 458-8855

Fax

(978) 458-8866

NPI assigned

May 13, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HDHHAD/Endpoint/HDHHAD

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.

• Michael J Grossman MD PC

  • Obstetrics & Gynecology Physician
  • North Andover, MA
  • NPI 1770530255
  Medicare reassignment NPD
• Obhg Massachusetts PC

  • Obstetrics & Gynecology Physician
  • Lawrence, MA
  • NPI 1740844083
  Medicare reassignment NPD
• The Practice OB/GYN Steward, PC

  • Obstetrics & Gynecology Physician
  • Methuen, MA
  • NPI 1881205037
  NPD Authorized official
• The Practice Dr Joulak PC

  • Obstetrics & Gynecology Physician
  • Methuen, MA
  • NPI 1699524348
  Authorized official Same address or phone
• The Practice OB/GYN PC

  • Obstetrics & Gynecology Physician
  • Methuen, MA
  • NPI 1619419082
  Authorized official Same address or phone
• The Practice OBGYN Dr Joulak PC

  • Obstetrics & Gynecology Physician
  • Methuen, MA
  • NPI 1932958683
  Authorized official Same address or phone
• LG Newcorp Inc

  dba Merrimack Health Methuen Hospital

  • General Acute Care Hospital
  • Methuen, MA
  • NPI 1265267991
  NPD (past)
• Steward Holy Family Hospital, Inc.

  • General Acute Care Hospital
  • Methuen, MA
  • NPI 1033421664
  NPD (past)

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1891962478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 EAST ST STE 1100",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018444547",
            "telephone_number": "978-458-8855",
            "fax_number": "978-458-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 EAST ST STE 1100",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018444547",
            "telephone_number": "978-458-8855",
            "fax_number": "978-458-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOULAK",
        "first_name": "IBRAHIM",
        "credential": "M.D., FACOG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-13",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "234420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110090826A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAIR ID",
            "identifier": "S400357712",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Rose Johnson, OTR/L
• Michele Johnson, M.D.
• Jason Jones, MD
• Brianna Joseph
• Fadi Joulak
• Jeannine Aucoin Kaatz, MS, MA, LMHC
• Collins Evans Kabuthia
• Kael Brooks, Licsw, Ladc-1, LLC
• David Kahan, OD
• Shawn Kakar, OTR/L

• Obstetrics & Gynecology Physician in Methuen, MA
• Providers in Methuen, MA by specialty
• Obstetrics & Gynecology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.