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DR. MODAR SUKKARIEH M.D.
NPI 1124328430
Internal Medicine - Addiction Medicine in Boston, MA

Active since November 02, 2010PECOS Enrolled
300 LONGWOOD AVE, BOSTON, MA 02115(617) 355-6000 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 23, 2024, May 15, 2024, Nov 2, 2020 (3 updates tracked since 2020).

About Dr. Modar Sukkarieh M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MODAR SUKKARIEH M.D. (NPI 1124328430) is an individual addiction medicine provider in Boston, Massachusetts, licensed in Massachusetts (259994) and active in the NPI registry since November 2010. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124328430
Entity TypeIndividualMale
Primary Taxonomy207RA0401X
Provider Legal NameDR. MODAR SUKKARIEHCredential: M.D.
Location Address300 LONGWOOD AVEBoston, MA 02115-5724
Mailing Address300 Longwood AveBoston, MA 02115-5724 · (617) 355-6000
Phone(617) 355-6000
Sole ProprietorNo
Enumeration DateNovember 2, 2010
Last NPPES UpdateAugust 27, 20243 updates tracked since enumeration
NPPES CertifiedAugust 27, 2024
✔ NPI 1124328430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
License✔ Licensed in MA · 259994
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Also ListedPediatricsTaxonomy 208000000X · License 259994 (MA)
300 LONGWOOD AVE, Boston, MA 02115
Open in Google Maps ↗

Secondary Practice Locations 2

Location 155 Fruit StBoston, MA 02114-2621 · Phone (617) 724-9040
Location 22 Brookline Pl Unit 5Brookline, MA 02445-7225 · Phone (617) 355-2727

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Modar Sukkarieh M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Modar Sukkarieh reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Children's Hospital Pediatric Associates, Inc
Same address
Pediatrics
300 LONGWOOD AVE
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,358 clinicians in this Medicare group
NPI 1457306664 (617) 355-6000
The General Hospital Corporation
2.6 mi
General Acute Care Hospital
55 FRUIT ST, BULFINCH 360
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,234 clinicians in this Medicare group
NPI 1023049236 (617) 726-2000
Massachusetts General Physicians Organization Inc
2.6 mi
Dermatology
55 FRUIT ST, BUL 2
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,360 clinicians in this Medicare group
NPI 1801874573 (617) 724-0287
Tristan Medical Enterprises PC
27 mi
Family Medicine
465 S WASHINGTON ST
North Attleboro, MA 02760
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6 clinicians in this Medicare group
NPI 1538398326 (508) 316-0725

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIE ANN HANSEN LCSW
Social Worker (Clinical)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (857) 218-4309
MS. ANNA ROGLIERI
Nurse Practitioner (Psychiatric/Mental Health)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000
STEPHEN G. FLYNN M.D.
Anesthesiology (Pediatric Anesthesiology)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000
MRS. LAUREN ASHLEY SHARIS P.T., D.P.T
Physical Therapist
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-7216
MS. SOYUN KWAN LICSW
Social Worker (Clinical)
300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115
Suffolk County (617) 355-0567
PUJA BANKA M.D.
Pediatrics
300 LONGWOOD AVE, BADER 203
BOSTON, MA 02115
Suffolk County (617) 355-6363
MR. COURTNEY SULLIVAN FRATTO CPNP
Nurse Practitioner (Pediatrics)
300 LONGWOOD AVE, HUNNEWELL BUILDING 322
BOSTON, MA 02115
Suffolk County (857) 218-4085
DR. ELIZABETH S TAGLAUER M.D., PH.D.
Pediatrics (Neonatal-Perinatal Medicine)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Modar Sukkarieh's NPI number?

The NPI number for Modar Sukkarieh is 1124328430. It was assigned to this individual provider in the NPPES registry on November 2, 2010.

Where is Modar Sukkarieh located?

Modar Sukkarieh practices at 300 Longwood Ave, Boston, MA 02115. The listed phone number is (617) 355-6000.

What is Modar Sukkarieh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Is Modar Sukkarieh enrolled in Medicare?

Yes. Modar Sukkarieh is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Modar Sukkarieh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Modar Sukkarieh reassigns Medicare benefits to 4 organizations: Children's Hospital Pediatric Associates, Inc (Boston, MA), The General Hospital Corporation (Boston, MA), Massachusetts General Physicians Organization Inc (Boston, MA) and Tristan Medical Enterprises PC (North Attleboro, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Modar Sukkarieh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Modar Sukkarieh was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.