Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255966743 Individual Practitioner Female Practitioner

Ebla Abd Alrahman

Pediatrics • Worcester, MA

Professional Overview & Biography Verified Profile Summary

Ebla Abd Alrahman is a registered healthcare professional specializing in Pediatrics in Worcester, MA. Practice services are available at 55 LAKE AVE N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

55 Lake Ave N

Worcester, MA 016550002

Telephone 7744426087
Fax 7744426060
Associated Practice Facility / Clinic
🏢 Umass Memorial Medical Center Facility NPI 1679574933

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Worcester, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.2 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
118 Specialists

Practicing in Worcester, MA (2760 Statewide)

Telehealth Adoption Rate
0.8% 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: 2024-10-01
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MA 1019360

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License CT 70740

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
110187283A (MA)

Practice Associates & Co-Workers

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

9 Associated Practitioners
NPI 1013610153

Doctor of Medicine (M.D.)

Marie Hydro

Pediatrics

NPI 1134706609
NPI 1174101273

Doctor of Medicine (M.D.)

NPI 1174264105

Doctor of Medicine (M.D.)

NPI 1336120062

Doctor of Medicine (M.D.)

NPI 1508356759

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location October 01, 2024

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 7744426087)

📍
Updated Business Mailing Address October 01, 2024

Registered at PO BOX 415348, BOSTON, MA 022415348 (Tel: 8002258885)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2024

Pediatrics (License #70740 in CT)

NPI Profile Active March 05, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location March 05, 2020

Registered at 282 WASHINGTON ST, HARTFORD, CT 061063322 (Tel: 8605459000)

📍
Updated Business Mailing Address March 05, 2020

Registered at 263 FARMINGTON AVE, FARMINGTON, CT 060300001

👤
Provider Name / Credentials Updated March 05, 2020

Recorded as EBLA ABD ALRAHMAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 05, 2020

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: 1255966743
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 05, 2020
Last Update: October 01, 2024
Sole Proprietor: No

Mailing Address

Po Box 415348

Boston, MA 022415348

Phone: 8002258885

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.