MOHAMED AZZAM MEHSSEN (MD) – Internal Medicine Physician, NPI 1578536389

MOHAMED AZZAM MEHSSEN (MD) is a healthcare provider. based in South boston, Massachusetts. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 80413 (MA). The NPI Number for MOHAMED AZZAM MEHSSEN (MD) is 1578536389

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
MOHAMED AZZAM MEHSSEN (MD)
NPI
1578536389
Phone
(617) 269-7500
Address
409 W BROADWAY
Enumeration Date
10 February 2006
Last Update Date
3 February 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6172697500
Graduation Year
1988 (38 years ago)
PAC ID
6507874831
Group Practice PAC ID
2062487291
Professional Enrollment ID
I20060329000152
Address ID
MA021272245SO409XXBROA300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

7,722 INTERNAL MEDICINE in MA

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Provider Addresses for MOHAMED AZZAM MEHSSEN (MD)

  • 409, West Broadway, Dorchester Heights, South Boston, Boston, Suffolk County, Massachusetts, 02127, United States

    SOUTH BOSTON, MA 021272245

    Phone: (617) 269-7500

    Fax: (617) 464-7512

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $229.

Total Amount is formed as General ($229) + Research ($0) + Ownership ($0) = $229.

Last reported payment date: 2024-10-10 • Largest payer in this snapshot: Gilead Sciences, Inc. ($229).

Total Amount

$229

General + Research + Ownership

Payments

2

Total payment records

General Amount

$229

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Gilead Sciences, Inc.$229
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-03-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060329000152IInternal MedicineMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes10567$0
99213Established patient office or other outpatient visit, 20-29 minutes3837$0
View full utilization report →

Insurance plans in this area (ZIP 02127)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062487291View full group profile
NameSpecialtyState
Family PracticeMA
-MA
Internal MedicineMA
Nurse PractitionerMA
O P H T H A L M O L O G YMA
P S Y C H I A T R YNY
O P T O M E T R YMA
Gastroenterology, Internal MedicineMA
Nurse PractitionerMA
Clinical Social WorkerRI

Reviews

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Frequently asked questions

What NPI should I save for MOHAMED AZZAM MEHSSEN (MD)?
Save NPI 1578536389 if you need a stable reference for MOHAMED AZZAM MEHSSEN (MD).
Is MOHAMED AZZAM MEHSSEN (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MOHAMED AZZAM MEHSSEN (MD) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for MOHAMED AZZAM MEHSSEN (MD). Clinical services aligned with this taxonomy classification.
What location shows for MOHAMED AZZAM MEHSSEN (MD)?
We surface South Boston, Massachusetts for MOHAMED AZZAM MEHSSEN (MD) based on available NPPES addresses.
What if South Boston, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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