Individual provider Active NPI

Sameh A Mesallum, M.D.

  • Internal Medicine Physician
  • Quincy, MA
National Provider Identifier
1952360414
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
160726 Issued in MA
Practice address
51 Loring St Apt 404
Quincy, MA 02169-6223
Phone
(617) 888-1010
Fax
(617) 971-3852
NPI assigned
Mar 22, 2006
Last updated
Mar 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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 160726 MA Primary

Addresses

Primary practice location

51 Loring St Apt 404
Quincy, MA 02169-6223

Mailing address

51 Loring St Apt 404
Quincy, MA 02169-6223
Phone (617) 888-1010

Other identifiers 1

IdentifierTypeStateIssuer
110062301AMedicaidMA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050322000591 MA Practitioner - HospitalistPractitioner - Internal Medicine 9830144914 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
160726MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parity Urgent Care Plus, LLC CurrentSince Jul 1, 2024 Accepting new patients
Lahey Clinic, Inc Internal Medicine Current Accepting new patients
Lahey Clinic, Inc. Internal Medicine CurrentSince Aug 9, 2012 Accepting new patients
Imedical365 Inc CurrentSince Aug 1, 2022 Accepting new patients
The Commonwealth of Massachusetts Past Accepting new patients
Baystate Medical Surgical Inc Past Accepting new patients

Locations

249 W Main St
Avon, MA 02322
Phone (508) 326-0493

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

950 American Legion Hwy
Roslindale, MA 02131
Phone (617) 323-3000

950 American Legion Hwy
Unit 10
Roslindale, MA 02131
Phone (617) 991-2931

Organizations & group practices 6

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.

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": "1742256000000",
    "number": "1952360414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 LORING ST APT 404",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021696223",
            "telephone_number": "617-888-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 LORING ST APT 404",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021696223",
            "telephone_number": "617-888-1010",
            "fax_number": "617-971-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESALLUM",
        "first_name": "SAMEH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "160726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110062301A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

Verify at the official NPI Registry.