Individual provider Active NPI

Tariq Z Haddadin, M.D.

  • Interventional Cardiology Physician
  • Johnson City, TN
National Provider Identifier
1003880295
Registry record updated Aug 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD39717 Issued in TN
Practice address
701 N State of Franklin Rd Ste 2
Johnson City, TN 37604-3645
Phone
(423) 926-4468
Fax
(423) 928-4838
NPI assigned
Feb 14, 2006
Last updated
Aug 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0101267894 VA
Cardiovascular Disease Physician 207RC0000X MD39717 TN
Interventional Cardiology Physician 207RI0011X 0101267894 VA
Interventional Cardiology Physician 207RI0011X MD39717 TN Primary

Addresses

Primary practice location

701 N State of Franklin Rd Ste 2
Johnson City, TN 37604-3645

Mailing address

PO Box 5159
Johnson City, TN 37602-5159
Phone (423) 926-4468

Other practice location 1

907 E Lamar Alexander Pkwy
Maryville, TN 37804-5015
Phone (865) 238-6161

Other practice location 2

162 Bmh Physicians Office Bldg
Maryville, TN 37804-5902
Phone (865) 238-6161

Other practice location 3

500 Martha Jefferson Dr Ste 505
Charlottesville, VA 22911-4668
Phone (434) 654-5260

Other identifiers 1

IdentifierTypeStateIssuer
3332029MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050727000386 TN Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 9436196516 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Karing Hearts Cardiology PCGroup PAC ID 9436567252, 14 clinicians

Practice addresses (Care Compare)

701 N State of Franklin Rd
Suite 2
Johnson City, TN 37604-3645
Phone (423) 926-4468

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting16
Pacemaker insertion or repair1-10
Varicose vein removal23
Leg revascularization (restoring blood flow)77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD39717TNMDCardiovascular Disease Physician
39717TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Karing Hearts Cardiology Heart and Vascular Center Cardiovascular Disease CurrentSince Jan 24, 2025 Accepting new patients
Blount Memorial Physician Group, Inc Cardiovascular Disease CurrentSince Feb 7, 2025 Accepting new patients
Karing Hearts Cardiology PC Cardiovascular Disease CurrentSince May 1, 2023 Accepting new patients
Medical Education Assistance Corporation Cardiovascular Disease PastSince Aug 1, 2015 Accepting new patients
Karing Hearts Cardiology, PLLC Cardiovascular Disease PastSince Apr 9, 2023 Accepting new patients

Locations

1503 W Elk Ave
Ste 8
Elizabethton, TN 37643
Phone (423) 542-0400

627 N Main Ave
Erwin, TN 37650
Phone (423) 735-3405

600 N State of Franklin Rd
Ste 8
Johnson City, TN 37604

701 N State of Franklin Rd
Ste 2
Johnson City, TN 37604
Phone (423) 477-0600

701 N State of Franklin Rd
Ste 9
Johnson City, TN 37604
Phone (423) 850-0776

162 Bmh Physicians Office Bldg
Maryville, TN 37804
Phone (865) 238-6161

463 Bmh Physicians Office Bldg
Maryville, TN 37804
Phone (865) 980-5100

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: tariq.haddadin.p1@direct.bmpg.nextgenshare.com
  • Direct secure messaging: thaddadin872669@direct.ghs.myhfn.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788048000000",
    "number": "1003880295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5159",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376025159",
            "telephone_number": "423-926-4468",
            "fax_number": "423-928-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N STATE OF FRANKLIN RD STE 2",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376043645",
            "telephone_number": "423-926-4468",
            "fax_number": "423-928-4838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "907 E Lamar Alexander Pkwy",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "TN",
            "postal_code": "378045015",
            "country_code": "US",
            "telephone_number": "865-238-6161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "162 Bmh Physicians Office Bldg",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "TN",
            "postal_code": "378045902",
            "country_code": "US",
            "telephone_number": "865-238-6161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Martha Jefferson Dr Ste 505",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229114668",
            "country_code": "US",
            "telephone_number": "434-654-5260",
            "fax_number": "434-654-5261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HADDADIN",
        "first_name": "TARIQ",
        "middle_name": "Z",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2026-08-30",
        "certification_date": "2026-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101267894",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "MD39717",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "VA",
            "license": "0101267894",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TN",
            "license": "MD39717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3332029",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.