NPIMap

Individual provider Active NPI

Riad K Mortada, MD

  • Internal Medicine Physician
  • Norfolk, MA
National Provider Identifier
1902974256
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
52762 Issued in MA
Practice address
31 Pine Street
Suite 300
Norfolk, MA 02056
Phone
(508) 623-3700
Fax
(508) 623-3701
NPI assigned
Dec 2, 2006
Last updated
Jan 5, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 52762 MA Primary

Addresses

Primary practice location

31 Pine Street
Suite 300
Norfolk, MA 02056

Mailing address

31 Pine Street
Suite 300
Norfolk, MA 02056
Phone (508) 623-3700

Other identifiers 8

IdentifierTypeStateIssuer
40619OtherMAFALLON HEALTH
052762OtherMATUFTS HEALTH PLAN
3140067MedicaidMA
04-02110OtherMAUNITED HEALTHCARE
110182870OtherMARAIL ROAD MEDICARE
J15997OtherMABCBS
18750OtherMANEIGHBORHOOD HEALTH
68670OtherMAHARVARD PILGRIM HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050815000202 MA Practitioner - Internal Medicine 1456381094 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atrius Health IncGroup PAC ID 4789588641, 1,214 clinicians

Practice addresses (Care Compare)

1 Lyons St
Dedham, MA 02026-5599
Phone (781) 329-1400

100 2ND Ave
Needham, MA 02494-2809
Phone (781) 726-4800

133 Brookline Ave
Boston, MA 02215-3904
Phone (617) 421-1000

31 Pine St
Suite 300
Norfolk, MA 02056-1680
Phone (781) 493-7200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atrius Health, Inc. Internal Medicine CurrentSince Mar 1, 2024 Accepting new patients
Atrius Health, Inc. CurrentSince Mar 1, 2024 Accepting new patients
Pondville Physical Therapy Current Accepting new patients
Atrius Health, Inc. Internal Medicine Current Accepting new patients
VMD Primary Providers Massachusetts PLLC Internal Medicine CurrentSince Nov 1, 2022 Accepting new patients
Walpole Physical Therapy Services, Inc PastSince Jul 21, 1999 Accepting new patients
Boston Neurobehavioral Associates, LLC Internal Medicine Past Accepting new patients
Atrius Health, Inc. Internal Medicine Past Accepting new patients

Locations

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051

31 Pine St
Norfolk, MA 02056
Phone (508) 623-3700

31 Pine St
Ste 300
Norfolk, MA 02056
Phone (508) 623-3700

Interoperability endpoints

  • Direct secure messaging: rmortadamd377782@direct.atrius.masshiway.net

Organizations & group practices 9

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.

Hospital & facility affiliations 8

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": "1165017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1902974256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 PINE STREET",
            "address_2": "SUITE 300",
            "city": "NORFOLK",
            "state": "MA",
            "postal_code": "02056",
            "telephone_number": "508-623-3700",
            "fax_number": "508-623-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 PINE STREET",
            "address_2": "SUITE 300",
            "city": "NORFOLK",
            "state": "MA",
            "postal_code": "02056",
            "telephone_number": "508-623-3700",
            "fax_number": "508-623-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTADA",
        "first_name": "RIAD",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-02",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "52762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON HEALTH",
            "identifier": "40619",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "052762",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3140067",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "04-02110",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "110182870",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J15997",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "18750",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH",
            "identifier": "68670",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, MA

Sources for this page

Verify at the official NPI Registry.