TALA MOHD ENEIZAT MAHDAWI MD
NPI 1619462728
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since June 30, 2018PECOS EnrolledAccepts Medicare Assignment
736 CAMBRIDGE ST, BOSTON, MA 02135(617) 789-2386 Get Directions Write a Review

NPPES record last updated: June 30, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tala Mohd Eneizat Mahdawi Md NPPES

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

TALA MOHD ENEIZAT MAHDAWI MD (NPI 1619462728) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with St Catherine Hospital Inc, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1619462728
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTALA MOHD ENEIZAT MAHDAWICredential: MD
Location Address736 CAMBRIDGE STBoston, MA 02135-2907
Mailing Address736 Cambridge StBoston, MA 02135-2907
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 30, 2018
NPI 1619462728 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.
736 CAMBRIDGE ST, Boston, MA 02135

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tala Mohd Eneizat Mahdawi Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274057146
PECOS Enrollment IDI20250412000129
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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Catherine Hospital Inc

Acute Care Hospitals · East Chicago, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150008
Location4321 Fir StreetEast Chicago, IN 46312 · Lake County
Emergency services Birthing friendly

St Mary Medical Center Inc

Acute Care Hospitals · Hobart, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150034
Location1500 S Lake Park AveHobart, IN 46342 · Lake County
Emergency services Birthing friendly

Community Hospital

Acute Care Hospitals · Munster, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150125
Location901 Macarthur BlvdMunster, IN 46321 · Lake County
Emergency services Birthing friendly

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.

Internal Medicine
736 CAMBRIDGE ST, INTERNAL MEDICINE RESIDENCY PROGRAM - MAILBOX #13
BOSTON, MA 02135
Internal Medicine (Cardiovascular Disease)
736 CAMBRIDGE ST, DEPT. OF CARDIOLOGY
BRIGHTON, MA 02135
Psychiatry & Neurology (Psychiatry)
736 CAMBRIDGE ST
BRIGHTON, MA 02135
Student in an Organized Health Care Education/Training Program
736 CAMBRIDGE ST
BOSTON, MA 02135
Student in an Organized Health Care Education/Training Program
736 CAMBRIDGE ST
BRIGHTON, MA 02135
Student in an Organized Health Care Education/Training Program
736 CAMBRIDGE ST
BRIGHTON, MA 02135
Internal Medicine (Nephrology)
736 CAMBRIDGE ST, ST ELIZABETHS MED CTR
BOSTON, MA 02135
Pathology (Anatomic Pathology & Clinical Pathology)
736 CAMBRIDGE ST
BRIGHTON, MA 02135

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 Tala Eneizat Mahdawi's NPI number?

The NPI number for Tala Eneizat Mahdawi is 1619462728. It was assigned to this individual provider in the NPPES registry on June 30, 2018.

Where is Tala Eneizat Mahdawi located?

Tala Eneizat Mahdawi practices at 736 Cambridge St, Boston, MA 02135. The listed phone number is (617) 789-2386.

What is Tala Eneizat Mahdawi's specialty?

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

Is Tala Eneizat Mahdawi enrolled in Medicare?

Yes. Tala Eneizat Mahdawi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tala Eneizat Mahdawi accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Tala Eneizat Mahdawi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tala Eneizat Mahdawi affiliated with any hospitals?

According to CMS data, Tala Eneizat Mahdawi is affiliated with St Catherine Hospital Inc, St Mary Medical Center Inc and Community Hospital.

When was this NPI record last updated?

The NPPES record for Tala Eneizat Mahdawi was last updated on June 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.