DR. HAIDER GHIASUDDIN MD
NPI 1457053621
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since March 20, 2023PECOS Enrolled
330 BROOKLINE AVE, BOSTON, MA 02215(617) 667-7000 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Haider Ghiasuddin Md NPPES

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

DR. HAIDER GHIASUDDIN MD (NPI 1457053621) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457053621
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. HAIDER GHIASUDDINCredential: MD
Location Address330 BROOKLINE AVEBoston, MA 02215-5400
Mailing Address330 Brookline AveBoston, MA 02215-5400
Sole ProprietorNo
Enumeration DateMarch 20, 2023
NPPES CertifiedMarch 20, 2023
NPI 1457053621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
330 BROOKLINE AVE, Boston, MA 02215

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Haider Ghiasuddin Md 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.

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.

Chronic Disease Hospital (Children)
330 BROOKLINE AVE
BOSTON, MA 02215
Internal Medicine
330 BROOKLINE AVE, PULMONARY AND CRITICAL CARE DEPARTMENT
BOSTON, MA 02215
Dermatology
330 BROOKLINE AVE, SHAPIRO 2
BOSTON, MA 02215
Anesthesiology
330 BROOKLINE AVE
BOSTON, MA 02215
Internal Medicine (Hematology)
330 BROOKLINE AVE
BOSTON, MA 02215
Internal Medicine
330 BROOKLINE AVE
BOSTON, MA 02215
Psychologist (Clinical)
330 BROOKLINE AVE
BOSTON, MA 02215
Hospitalist
330 BROOKLINE AVE
BOSTON, MA 02215

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 Haider Ghiasuddin's NPI number?

The NPI number for Haider Ghiasuddin is 1457053621. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Haider Ghiasuddin located?

Haider Ghiasuddin practices at 330 Brookline Ave, Boston, MA 02215. The listed phone number is (617) 667-7000.

What is Haider Ghiasuddin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Haider Ghiasuddin enrolled in Medicare?

Yes. Haider Ghiasuddin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Haider Ghiasuddin was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.