Mohsina Alom, MD
Individual provider Active NPI Pediatrics Physician · Worcester, MA
NPI 1992965073 · NPPES record last updated Feb 19, 2020
Key facts
- NPI
- 1992965073
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 249623 (MA)
- Practice address
- 366 Shrewsbury St
Worcester, MA 01604-4647 - Phone
- (508) 595-2700
- Fax
- (774) 221-5136
- NPI assigned
- Jun 12, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- University College of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Reliant Medical Group Inc
Practice addresses (Care Compare)
1400 Worcester St
Natick, MA 01760-1532
Phone (508) 595-2700
5 Neponset St
Worcesteer, MA 01606-2714
Phone (508) 595-2300
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111123000403 | MA | Practitioner - Pediatric Medicine | 7113191420 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Medical Group, Inc | Pediatrics | Current |
Accepting new patients |
| Child Health Associates | Pediatrics | Past | Accepting new patients |
| Reliant Medical Group, Inc | Past | Accepting new patients |
Locations
5 Neponset St
Worcester, MA 01606
Phone (508) 595-2300
5 Neponset St
Fl 2
Worcester, MA 01606
Phone (508) 368-5532
366 Shrewsbury St
Worcester, MA 01604
Phone (508) 595-2700
630 Plantation St
Fl 12
Worcester, MA 01605
Phone (508) 368-5529
Interoperability endpoints
- mohsina.alom.npi1992965073.reliant@direct.optumcare.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 249623 | MA | Yes |
Addresses
Primary practice location
366 Shrewsbury St
Worcester, MA 01604-4647
Mailing address
5 Neponset St
Wot 2ND FL, Ste C203
Worcester, MA 01606-2714
Phone (508) 595-2700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110090220A | Medicaid | MA |
Other providers in Worcester, MA
- Ashley Almeida
- Toby Almeida
- Marianna Almpani
- Erika Leah Almquist
- Lisa Almstrom
- Amit Alon
- Ghada Abdulrahman Alonaizan
- Alvaro Alonso Aparicio
- Victoria Marie Alonso
- Israel Alonzo
All providers in Worcester, MA · Pediatrics Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.