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Deactivated NPI 1538613617 Deactivated / Inactive NPI Male Practitioner

Dr. Ayman Grada , MD

Dermatology • Boston, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ayman Grada has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 07, 2016
NPI Deactivation Date October 09, 2018
Total Practice Duration ~2 Years of Practice (2016 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Ayman Grada, MD was a registered Dermatology practicing in Boston, MA. Throughout an active medical career spanning 2 years, Dr. Grada provided care at the practice location at 609 ALBANY ST until profile deactivation on 2018-10-09.

Practice Location & Contact Primary Location

Practice Address

609 Albany St
B600

Boston, MA 021182515

Telephone 3175255247

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Boston, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.4 Yrs
State Avg: 27.5 Yrs
Regional Practice Density
270 Specialists

Practicing in Boston, MA (648 Statewide)

Telehealth Adoption Rate
18.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-05-13
Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License ZZ 7002

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1093247603

Doctor of Osteopathic Medicine (D.O.)

NPI 1336582840

Doctor of Medicine (M.D.)

NPI 1508493800

Doctor of Medicine (M.D.)

Dr. Lori Kim , MD

Student in an Organized Health Care Education/Training Program

NPI 1629728902

Doctor of Medicine (M.D.)

Dr. Christina Lopez , MD

Student in an Organized Health Care Education/Training Program

NPI 1992436364

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
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Updated Practice Location May 13, 2022

Registered at 609 ALBANY ST, B600, BOSTON, MA 021182515 (Tel: 3175255247)

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Updated Business Mailing Address May 13, 2022

Registered at 609 ALBANY ST, 600B, BOSTON, MA 021182515 (Tel: 3175255247)

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Provider Name / Credentials Updated May 13, 2022

Recorded as AYMAN GRADA, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2022

Dermatology (License #7002 in ZZ)

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NPI Profile Deactivated October 09, 2018

Record deactivated on October 09, 2018

NPI Profile Active August 11, 2016

NPI status registered as active in NPPES database

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Updated Practice Location August 11, 2016

Registered at 609 ALBANY ST, B600, BOSTON, MA 021182515 (Tel: 3175255247)

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Updated Business Mailing Address August 11, 2016

Registered at 609 ALBANY ST, 600B, BOSTON, MA 021182515 (Tel: 3175255247)

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Provider Name / Credentials Updated August 11, 2016

Recorded as AYMAN GRADA, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2016

Dermatology (License #7002 in ZZ)

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Initial NPI Registration & Enumeration August 07, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538613617
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 07, 2016
Last Update: May 13, 2022
Deactivation Date: October 09, 2018
Sole Proprietor: No

Mailing Address

609 Albany St, 600b

Boston, MA 021182515

Phone: 3175255247

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.