NPIMap

Individual provider Active NPI

Samir A Hadeed, M.D.

  • Interventional Cardiology Physician
  • Johnstown, PA
National Provider Identifier
1023045523
Registry record updated Jan 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD073567L Issued in PA
Practice address
374 Theatre Dr
Johnstown, PA 15904-3221
Phone
(814) 619-4587
Fax
(814) 254-4154
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD073567L PA
Nuclear Cardiology Physician 207UN0901X MD073567L PA
Interventional Cardiology Physician 207RI0011X MD073567L PA Primary

Addresses

Primary practice location

374 Theatre Dr
Johnstown, PA 15904-3221

Mailing address

374 Theatre Dr
Johnstown, PA 15904-3221
Phone (814) 619-4587

Other identifiers 1

IdentifierTypeStateIssuer
0019514600004MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050622000719 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Peripheral Vascular DiseasePractitioner - Interventional Cardiology 3678518453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Interventional Cardiology, Peripheral Vascular Disease
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Johnstown Heart and Vascular Center, IncGroup PAC ID 5092968032, 6 clinicians

Practice addresses (Care Compare)

374 Theatre Dr
Johnstown, PA 15904-3221
Phone (814) 619-4587

Hospital & facility affiliations

  • Chan Soon- Shiong Medical Center at Windber Hospital, Windber, PA, CCN 390112
  • Conemaugh Memorial Medical Center Hospital, Johnstown, PA, CCN 390110
  • Upmc Somerset Hospital, Somerset, PA, CCN 390039
  • Indiana Regional Medical Center Hospital, Indiana, PA, CCN 390173
  • Upmc Bedford Memorial Hospital, Everett, PA, CCN 390117

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting12
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)88

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Johnstown Ambulatory Services PLLC Cardiovascular Disease Current Accepting new patients
Johnstown Heart and Vascular Center Inc. Cardiovascular Disease CurrentSince Oct 1, 2012 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
West Penn Allegheny Health System Inc. Past Accepting new patients

Locations

1027 Broad St
Johnstown, PA 15906
Phone (814) 535-8480

374 Theatre Dr
Johnstown, PA 15904
Phone (814) 269-1494

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 and National Provider Directory roles.

Hospital & facility affiliations 11

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516320000000",
    "number": "1023045523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 THEATRE DR",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043221",
            "telephone_number": "814-619-4587",
            "fax_number": "814-254-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 THEATRE DR",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043221",
            "telephone_number": "814-619-4587",
            "fax_number": "814-254-4154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADEED",
        "first_name": "SAMIR",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2018-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD073567L",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "PA",
            "license": "MD073567L",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "MD073567L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019514600004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.