NPIMap

Individual provider Active NPI

Ghinwa Ali Hassan, MD

  • Family Medicine Physician
  • Bedford, NH
National Provider Identifier
1922056738
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD19411 Issued in ME
Practice address
188 Route 101
Bedford, NH 03110-5451
Phone
(603) 663-8052
Fax
(036) 638-0566
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD19411 ME Primary

Addresses

Primary practice location

188 Route 101
Bedford, NH 03110-5451

Mailing address

188 Route 101
Bedford, NH 03110-5451
Phone (603) 663-8052

Other identifiers 1

IdentifierTypeStateIssuer
7010394MedicaidRI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address staff_cmcbcc@gohnh.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20170808001919 NH Practitioner - Family Practice 1951475250 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mass General Brigham Medical Group, Inc.Group PAC ID 3971987108, 140 clinicians

Practice addresses (Care Compare)

30 Tuscan Blvd
Salem, NH 03079-3981
Phone (857) 282-8100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD19411MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Medical Center CurrentSince Jul 1, 2017 Accepting new patients
Catholic Medical Center Family Medicine CurrentSince Jul 1, 2017 Accepting new patients
Mass General Brigham Medical Group, Inc. Family Medicine CurrentSince Sep 6, 2022 Accepting new patients
St. Joseph Ambulatory Care Inc Past Accepting new patients

Locations

5 Washington Pl
Ste 1A
Bedford, NH 03110
Phone (603) 663-8060

188 State Route 101
Bedford, NH 03110
Phone (603) 314-4700

1750 Elm St
Ste 201A
Manchester, NH 03104
Phone (603) 623-3343

30 Tuscan Blvd
Salem, NH 03079
Phone (857) 282-8100

30 Tuscan Blvd
#3
Salem, NH 03079

Interoperability endpoints

  • Direct secure messaging: staff_cmcbcc@gohnh.allscriptsdirect.net
  • Direct secure messaging: hassan.ghinwa.mgbicare@direct.partners.masshiway.net

Organizations & group practices 4

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 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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1922056738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 ROUTE 101",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031105451",
            "telephone_number": "603-663-8052",
            "fax_number": "036-638-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 ROUTE 101",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031105451",
            "telephone_number": "603-663-8052",
            "fax_number": "036-638-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "GHINWA",
        "middle_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD19411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7010394",
            "state": "RI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "staff_cmcbcc@gohnh.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "188 Route 101",
            "city": "Bedford",
            "state": "NH",
            "country_code": "US",
            "postal_code": "031105451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

Verify at the official NPI Registry.