Individual provider Active NPI

David Z Haddad, DPM

  • Foot & Ankle Surgery Podiatrist
  • Richardson, TX
National Provider Identifier
1104445097
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
3104 Issued in TX
Practice address
2001 N Collins Blvd Ste 103
Richardson, TX 75080-2644
Phone
(972) 690-5374
NPI assigned
Apr 10, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 3104 TX Primary

Addresses

Primary practice location

2001 N Collins Blvd Ste 103
Richardson, TX 75080-2644

Mailing address

2001 N Collins Blvd Ste 103
Richardson, TX 75080-2644
Phone (972) 690-5374

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address haddad-david@cooperhealth.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200804003131 NJ Practitioner - Podiatry 2769807908 Reassigns benefits to 1 organization
I20211004001577 TX Practitioner - Podiatry 2769807908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Podiatric Medical Partners of Texas PAGroup PAC ID 2860544749, 18 clinicians

Practice addresses (Care Compare)

2001 N Collins Blvd
Suite 103
Richardson, TX 75080-2644
Phone (972) 690-5374

6760 Abrams Rd
Suite 203
Dallas, TX 75231-0246
Phone (214) 340-8885

801 N Zang Blvd
Suite 103
Dallas, TX 75208-4858
Phone (214) 330-9299

Hospital & facility affiliations

  • The Home Health Team Home health agency, Richardson, TX, CCN 747573
  • Methodist Richardson Medical Center Hospital, Richardson, TX, CCN 450537
  • Methodist Hospital for Surgery Hospital, Addison, TX, CCN 670073
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue327
Removal of skin lesions28
Removal of nail tissue64
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3104TXMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatric Medical Partners of Texas, PA Current Accepting new patients
Podiatric Medical Partners of Texas, PA CurrentSince Sep 1, 2021 Accepting new patients
Orthonj LLC CurrentSince Jan 1, 2021 Accepting new patients
Podiatric Medical Partners of Texas, PA Foot & Ankle Surgery CurrentSince Sep 1, 2021 Accepting new patients
Orthonj LLC CurrentSince Jan 1, 2021 Accepting new patients

Locations

2315 Route 34
Ste D
Manasquan, NJ 08736
Phone (732) 974-0404

2315 Route 34
Manasquan, NJ 08736
Phone (732) 974-0404

226 Route 37 W
Toms River, NJ 08755
Phone (732) 240-6060

2625 Matlock Rd
Ste 103
Arlington, TX 76015
Phone (817) 466-8514

2909 S Hampton Rd
Ste F132
Dallas, TX 75224
Phone (214) 330-9299

6760 Abrams Rd
Ste 203
Dallas, TX 75231
Phone (214) 340-8885

5940 W Parker Rd
Ste 202
Plano, TX 75093
Phone (972) 781-1970

2001 N Collins Blvd
Ste 103
Richardson, TX 75080
Phone (972) 690-5374

6900 Denton Hwy
Ste 111
Watauga, TX 76148
Phone (817) 427-2823

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 4

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": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1104445097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 N COLLINS BLVD STE 103",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802644",
            "telephone_number": "972-690-5374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N COLLINS BLVD STE 103",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802644",
            "telephone_number": "972-690-5374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "DAVID",
        "middle_name": "Z",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-10",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "3104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "haddad-david@cooperhealth.edu",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Cooper Plz",
            "city": "Camden",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "081031461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.