Active NPI
Raed Haddad, M.D.
- Internal Medicine Physician
- Dearborn, MI
National Provider Identifier
1023320231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301097116
- Practice address
- 9720 Dix
Ste B
Dearborn, MI 48120-1566 - Phone
- (313) 843-1973
- Fax
- (313) 843-1961
- NPI assigned
- Jul 6, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301097116 | MI | Primary |
Addresses
Primary practice location
9720 Dix
Ste B
Dearborn, MI 48120-1566
Mailing address
9720 Dix
Ste B
Dearborn, MI 48120-1566
Phone (313) 843-1973
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023320231 | Other | MI | HAP |
| 1023320231 | Medicaid | MI | |
| 1023320231 | Other | MI | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Dearborn Physical Therapy LTD
Practice addresses (Care Compare)
23852 Michigan Ave
Dearborn, MI 48124-1829
9720 Dix
Suite B
Dearborn, MI 48120-1566
Phone (313) 843-1973
Hospital & facility affiliations
- Beaumont Home Health
- Beaumont Hospital Royal Oak
- Beaumont Hospital, Troy
- Beaumont Hospital - Dearborn
- Beaumont Hospital - Farmington Hills
- Beaumont Hospital - Grosse Pointe
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- rhaddad@direct.dmc.org
- https://fhir4.healow.com/fhir/r4/EFAJCA/Endpoint/EFAJCA
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Dearborn, MI
- NPI 1518369412
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Troy, MI
- NPI 1811461734
-
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
-
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726444800000",
"number": "1023320231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9720 DIX",
"address_2": "STE B",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481201566",
"telephone_number": "313-843-1973",
"fax_number": "313-843-1961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9720 DIX",
"address_2": "STE B",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481201566",
"telephone_number": "313-843-1973",
"fax_number": "313-843-1961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADDAD",
"first_name": "RAED",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-06",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301097116",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAP",
"identifier": "1023320231",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1023320231",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1023320231",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.