ALAA M. ELREFAI M.D.
NPI 1043262694
Psychiatry & Neurology - Psychiatry in Worcester, MA
NPI Status: Active since May 16, 2006
Contact Information
26 QUEEN ST
WORCESTER, MA
ZIP 01610
Phone: (508) 334-2670
Fax: (508) 334-2781
- Individual
- Male
- Psychiatry & Neurology
- Psychiatry
- Accepts Insurance
- Medicare Quality Reporting
About ALAA ELREFAI
This page provides the complete NPI Profile along with additional information for Alaa Elrefai, a provider established in Worcester, Massachusetts with a medical specialization in Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1043262694 assigned on May 2006. The practitioner's primary taxonomy code is 2084P0800X with license number 52005 (MA). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1043262694
- Provider Name
- ALAA M. ELREFAI M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 26 QUEEN ST WORCESTER, MA 01610
- Location Phone
- (508) 334-2670
- Location Fax
- (508) 334-2781
- Mailing Address
- PO BOX 415348 BOSTON, MA 02241
- Mailing Phone
- (800) 225-8885
- Mailing Fax
- (508) 334-2781
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-16-2006
- Last Update Date
- 09-28-2018
- Code Navigator
A psychiatrist like Alaa Elrefai are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.
Location Map
Secondary Locations
- 1093 N Main St
Randolph, MA 02368
(781) 963-7775
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
Psychiatry & Neurology Psychiatry
- Taxonomy Code
- 2084P0800X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 52005
- License State
- MA
- Taxonomy Description
- A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 002546301 | OTHER (01) | MA | PTAN |
| 110046788A | MEDICAID (05) | MA |
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Chronic Care and Preventative Care Management for Empaneled Patients | Yes | N/A |
| Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions; • Use condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use reminders and outreach (e.g., phone calls, emails, postcards, patient portals and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation. | ||
| Documentation of Current Medications in the Medical Record | 100% | 668 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| e-Prescribing | 66% | 1651 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Patient-Specific Education | 68% | 221 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 41% | 217 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 93% | 137 |
| Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user | ||
| Provide Patient Access | 95% | 221 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Secure Messaging | 74% | 221 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Specialized Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI. | ||
| Use of decision support and standardized treatment protocols | Yes | N/A |
| Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
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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 | 0 | 4 | 3 | 2 | 6 | 2 | 6 | 9 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 8 | 3 | 4 | 6 | 4 | 6 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 8 + 3 + 4 + 6 + 4 + 6 + 1 + 8 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1043262694 is valid because the calculated check digit 4 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.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1780665026 | MATTHEW A SILVA PHARM.D. Individual | Pharmacist | 26 QUEEN ST FAMILY HEALTH CENTER PHARMACY WORCESTER, MA 01610 (508) 860-7790 |
| 1407839178 | DR. LINDA WEINREB M.D. Individual | Family Medicine | 26 QUEEN ST WORCESTER, MA 01610 (508) 860-7700 |
| 1306823844 | MS. SUANNE PETROFF NP Individual | Nurse Practitioner (Family) | 26 QUEEN ST FAMILY CENTER OF WORCESTER WORCESTER, MA 01610 (508) 860-7700 |
| 1730145533 | JENNIFER J AVERILL MOFFITT CNM Individual | Midwife | 26 QUEEN ST FAMILY HEALTH CENTER OF WORCESTER, INC. WORCESTER, MA 01610 (508) 860-7700 |
| 1205846441 | BONNIE-JEAN MACKINNON WOMENS HEALTH Individual | Registered Nurse (Perinatal) | 26 QUEEN ST MEDICAL WORCESTER, MA 01610 (508) 860-7700 |
| 1043220155 | SANDRA J VELAZQUEZ PEDIATRIC NP Individual | Nurse Practitioner (Pediatrics) | 26 QUEEN ST MEDICAL WORCESTER, MA 01610 (508) 860-7700 |
| 1215947528 | MARK D SHELTON LICSW Individual | Social Worker | 26 QUEEN ST SOCIAL SERVICES WORCESTER, MA 01610 (508) 860-7700 |
| 1942211487 | JUDITH A GALLANT-ROOT FAMILY MEDICINE Individual | Nurse Practitioner (Family) | 26 QUEEN ST MEDICAL WORCESTER, MA 01610 (508) 860-7700 |
| 1073524419 | MARTHA M SULLIVAN GENERAL DENTISTRY Individual | Dentist | 26 QUEEN ST DENTAL WORCESTER, MA 01610 (508) 860-7700 |
| 1457362998 | LILLIAN M CHENELL FNP, PNP Individual | Nurse Practitioner (Family) | 26 QUEEN ST MEDICAL WORCESTER, MA 01610 (508) 860-7700 |
| 1649281106 | JO-ELLEN R BRODEUR FAMILY PRACTICE Individual | Physician Assistant | 26 QUEEN ST MEDICAL WORCESTER, MA 01610 (508) 860-7700 |
| 1972514180 | LISA H CARTER FAMILY PRACTICE Individual | Family Medicine | 26 QUEEN ST MEDICAL WORCESTER, MA 01610 (508) 860-7700 |
| 1386655744 | GABRIEL J OCHOA GENERAL DENTISTRY Individual | Dentist | 26 QUEEN ST DENTAL WORCESTER, MA 01610 (508) 860-7700 |
| 1780695130 | SUJATHA L REVUR GENERAL DENTISTRY Individual | Dentist | 26 QUEEN ST DENTAL WORCESTER, MA 01610 (508) 860-7700 |
| 1093726382 | LUCY M CANDIB MD Individual | Family Medicine | 26 QUEEN ST MEDICAL WORCESTER, MA 01610 (508) 860-7700 |
| 1952312969 | SARA G SHIELDS FAMILY PRACTICE Individual | Family Medicine | 26 QUEEN ST MEDICAL WORCESTER, MA 01610 (508) 860-7700 |
| 1356352439 | VALERIE F PIETRY FAMILY PRACTICE Individual | Family Medicine | 26 QUEEN ST MEDICAL WORCESTER, MA 01610 (508) 860-7700 |
| 1316959166 | LISE J TARDIF FAMILY PRACTICE Individual | Family Medicine | 26 QUEEN ST MEDICAL WORCESTER, MA 01610 (508) 860-7700 |
| 1609888445 | DR. THEODORE M SHOEMAKER FAMILY PRACTICE Individual | Family Medicine | 26 QUEEN ST MEDICAL WORCESTER, MA 01610 (508) 860-7700 |
| 1336223148 | THUTRANG LE CHANG Individual | Pharmacist | 26 QUEEN ST WORCESTER, MA 01610 (508) 860-7731 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043262694, enumerated in the NPI registry as an "individual" on May 16, 2006
The provider is located at 26 Queen St Worcester, Ma 01610 and the phone number is (508) 334-2670
The provider's speciality is Psychiatry & Neurology with taxonomy code 2084P0800X with a focus in Psychiatry
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on May 16, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.