DR. MOTAZ QADAN M.D., PH.D
NPI 1174848709
Surgery - Surgical Oncology in Boston, MA
NPI Status: Active since April 07, 2010
Contact Information
55 FRUIT ST
MASSACHUSETTS GENERAL HOSPITAL YAWKEY 7B
BOSTON, MA
ZIP 02114
Phone: (617) 726-8730
- Individual
- Male
- Years of Experience 23
- Surgery
- Surgical Oncology
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About MOTAZ QADAN
This page provides the complete NPI Profile along with additional information for Motaz Qadan, a provider established in Boston, Massachusetts with a medical specialization in Surgery, focusing in surgical oncology and more than 23 years of experience. The healthcare provider is registered in the NPI registry with number 1174848709 assigned on April 2010. The practitioner's primary taxonomy code is 2086X0206X with license number 266267 (MA). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1174848709
- Provider Name
- DR. MOTAZ QADAN M.D., PH.D
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 55 FRUIT ST MASSACHUSETTS GENERAL HOSPITAL YAWKEY 7B BOSTON, MA 02114
- Location Phone
- (617) 726-8730
- Mailing Address
- 55 FRUIT ST BOSTON, MA 02114
- Mailing Phone
- (617) 643-5153
- Medical School Name
- OTHER
- Graduation Year
- 2003
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-07-2010
- Last Update Date
- 07-15-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery Surgical Oncology
- Taxonomy Code
- 2086X0206X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 266267
- License State
- MA
- Taxonomy Description
- A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Motaz Qadan is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Motaz Qadan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 4486949484
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20160829002642
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 40-54 minutes
Initial hospital inpatient care per day, typically 70 minutes
New patient office or other outpatient visit, 60-74 minutes
Partial removal of liver lobe
Partial removal of pancreas, bile duct, and small bowel with connection of pancreas to small bowel
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 23 times for 21 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 20 times for 19 patientsThis service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
This service was performed 91 times for 88 patientsInitial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
This service was performed 15 times for 15 patientsThis is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
This service was performed 13 times for 13 patientsA partial removal of a liver lobe, also known as a hepatectomy, is a surgical procedure where a portion of your liver is removed. This is often done to eliminate disease, such as a tumor. The liver has the unique ability to regenerate, allowing for recovery post-procedure.
This service was performed 16 times for 16 patientsThis procedure involves partially removing the pancreas, bile duct, and a portion of the small intestine. The remaining part of the pancreas is then connected to the small intestine. This surgery helps treat certain digestive system diseases.
This service was performed 11 times for 11 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $47.46 for a new patient copayment and $19.71 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 02114 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $189.86
- Minimum New Patient Price $63.72
- Maximum New Patient Price $189.86
- Average New Patient Copayment $47.46
- Minimum New Patient Copayment $15.93
- Maximum New Patient Copayment $47.46
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $78.84
- Minimum Established Patient Price $21.07
- Maximum Established Patient Price $155.29
- Average Established Patient Copayment $19.71
- Minimum Established Patient Copayment $5.26
- Maximum Established Patient Copayment $38.82
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Motaz Qadan is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| COOLEY DICKINSON HOSPITAL INC,THE | 30 LOCUST STREET NORTHAMPTON, MA 01060 | (413) 582-2000 | Acute Care Hospitals | |
| NORTH SHORE MEDICAL CENTER - | 81 HIGHLAND AVENUE SALEM, MA 01970 | (978) 741-1215 | Acute Care Hospitals | |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT STREET BOSTON, MA 02114 | (617) 724-9725 | Acute Care Hospitals | |
| NEWTON-WELLESLEY HOSPITAL | 2014 WASHINGTON STREET NEWTON, MA 02462 | (617) 243-6000 | Acute Care Hospitals | |
| BRIGHAM AND WOMEN'S HOSPITAL | 75 FRANCIS STREET BOSTON, MA 02115 | (617) 732-5500 | Acute Care Hospitals |
Reviews for DR. MOTAZ QADAN M.D., PH.D
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 7 | 4 | 8 | 4 | 8 | 7 | 0 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 14 | 4 | 16 | 4 | 16 | 7 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 4 + 4 + 1 + 6 + 4 + 1 + 6 + 7 + 0 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1174848709 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
ANDREW T CHAN M.D.
Internal Medicine
(Gastroenterology)
55 FRUIT ST
BOSTON, MA
ZIP 02114
KALOYAN S TANEV MD
Psychiatry & Neurology
(Psychiatry)
55 FRUIT ST
WARREN 1220
BOSTON, MA
ZIP 02114
DR. DEBRA F WEINSTEIN MD
Internal Medicine
(Gastroenterology)
55 FRUIT ST
BOSTON, MA
ZIP 02114
BRADEN KUO M.D.
Internal Medicine
(Gastroenterology)
55 FRUIT ST
BLAKE 4, GI UNIT. MGH
BOSTON, MA
ZIP 02114
DR. NANCY J GAGLIANO MD
Internal Medicine
55 FRUIT ST
4710B
BOSTON, MA
ZIP 02114
DR. DAVID F TORCHIANA MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
55 FRUIT ST
BUL 119
BOSTON, MA
ZIP 02114
DAVID MICHAEL SHAHIAN MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
55 FRUIT ST
MGH, BULFINCH 2
BOSTON, MA
ZIP 02114
DR. JAY JEFFREY SCHNITZER M.D., PH.D.
Surgery
55 FRUIT ST
PEDIATRIC SURGERY, WRN 11
BOSTON, MA
ZIP 02114
DR. THEODORE JOSEPH ONGARO MD
Urology
55 FRUIT ST
GRB 1102
BOSTON, MA
ZIP 02114
DR. WEI CHAO MD PHD
Anesthesiology
55 FRUIT ST
CLN 3
BOSTON, MA
ZIP 02114
DR. MAURICE ALBRIGHT MD
Orthopaedic Surgery
55 FRUIT ST
YAW 3E ORTHOPAEDIC ASSOCIATES
BOSTON, MA
ZIP 02114
DR. GREGORY YVES LAUWERS MD
Pathology
(Anatomic Pathology)
55 FRUIT ST
PATHOLOGY ASSOCIATES WRN 2
BOSTON, MA
ZIP 02114
DR. KENT BALANIS LEWANDROWSKI MD
Pathology
(Anatomic Pathology & Clinical Pathology)
55 FRUIT ST
GRB 5 PATHOLOGY ASSOCIATES
BOSTON, MA
ZIP 02114
DR. JEFFREY A GELFAND MD
Allergy & Immunology
55 FRUIT ST
S50-801 INFECTIOUS DISEASE ASSOCIATES
BOSTON, MA
ZIP 02114
DR. KATHLEEN BRIGID TRAINOR PSYD
Psychologist
55 FRUIT ST
YAW 6A MASSACHUSSETTS GENERAL HOSPITAL
BOSTON, MA
ZIP 02114
DR. BOYD TAYLOR THOMPSON MD
Internal Medicine
(Pulmonary Disease)
55 FRUIT ST
BOSTON, MA
ZIP 02114
DR. RAJESH TIM GANDHI MD
Internal Medicine
(Infectious Disease)
55 FRUIT ST
FND 8 INFECTIOUS DISEASE ASSOCIATES
BOSTON, MA
ZIP 02114
DR. SHIHAB AHMED MBBS
Anesthesiology
(Pain Medicine)
55 FRUIT ST
CLN 309 ANESTHESIA ASSOCIATES
BOSTON, MA
ZIP 02114
DR. MARIE B DEMAY MD
Internal Medicine
(Endocrinology, Diabetes & Metabolism)
55 FRUIT ST
WEL 5
BOSTON, MA
ZIP 02114
DR. MICHELE TRUCKSIS MD PHD
Internal Medicine
55 FRUIT ST
INFECTIOUS DISEASE ASSOCIATES GRJ 504
BOSTON, MA
ZIP 02114
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174848709, enumerated as an "individual" on April 07, 2010.
The provider is located at 55 FRUIT ST MASSACHUSETTS GENERAL HOSPITAL YAWKEY 7B BOSTON, MA 02114 and the phone number is (617) 726-8730.
Surgery with taxonomy code 2086X0206X and a focus in Surgical Oncology.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.
Motaz Qadan is affiliated with: COOLEY DICKINSON HOSPITAL INC,THE, NORTH SHORE MEDICAL CENTER -, MASSACHUSETTS GENERAL HOSPITAL, NEWTON-WELLESLEY HOSPITAL and BRIGHAM AND WOMEN'S HOSPITAL.
