Active NPI
Abou-Kacem Sekkal, MD
- Surgery Physician
- Westfield, MA
National Provider Identifier
1912966466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 58596
- Practice address
- 115 W Silver St
Westfield, MA 01085-3628 - Phone
- (413) 572-6010
- Fax
- (413) 572-6009
- NPI assigned
- Mar 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 58596 | MA | Primary |
Addresses
Primary practice location
115 W Silver St
Westfield, MA 01085-3628
Mailing address
280 Chestnut Street
2ND FL
Springfield, MA 01199-1001
Phone (417) 794-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3004198 | Medicaid | MA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060526000037 | MA | Practitioner - General Surgery | 7113994641 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532304000000",
"number": "1912966466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 CHESTNUT STREET",
"address_2": "2ND FL",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011991001",
"telephone_number": "417-794-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 W SILVER ST",
"city": "WESTFIELD",
"state": "MA",
"postal_code": "010853628",
"telephone_number": "413-572-6010",
"fax_number": "413-572-6009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEKKAL",
"first_name": "ABOU-KACEM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-22",
"last_updated": "2018-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "58596",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3004198",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.