NPIMap

Organization Active NPI

Global Care Medical Group, P.C.

  • Primary Care Clinic/Center
  • Tewksbury, MA
National Provider Identifier
1902870884
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
80750 Issued in MA
Legal business name
GLOBAL CARE MEDICAL GROUP, P.C.
Practice address
600 Clark Rd
Tewksbury, MA 01876-1699
Phone
(978) 453-8261
Fax
(978) 453-7911
NPI assigned
Feb 15, 2006
Last updated
Mar 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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

Authorized official

Name
Elias Zaher Nabbout, M.D.
Title
Owner
Phone
(978) 453-8261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 80750 MA Primary

Addresses

Primary practice location

600 Clark Rd
Tewksbury, MA 01876-1699

Mailing address

600 Clark Rd
Tewksbury, MA 01876-1699
Phone (978) 453-8261

Other identifiers 1

IdentifierTypeStateIssuer
9714481MedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050404000185 MA Part B Supplier - Clinic/Group Practice 7416904313 Receives reassigned benefits from 21 practitioners
Practice locations: Lowell, MA; Tewksbury, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 32

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.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1902870884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CLARK RD",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018761699",
            "telephone_number": "978-453-8261",
            "fax_number": "978-453-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CLARK RD",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018761699",
            "telephone_number": "978-453-8261",
            "fax_number": "978-453-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOBAL CARE MEDICAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "NABBOUT",
        "authorized_official_first_name": "ELIAS",
        "authorized_official_middle_name": "ZAHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-453-8261",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MA",
            "license": "80750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9714481",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tewksbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; 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.