Eduardo S Haddad, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

46060 Issued in MA

Practice address

575 Turnpike St Ste 17
North Andover, MA 01845-5937

Phone

(978) 686-4343

Fax

(978) 682-5191

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

NephrologyAlso: Internal Medicine

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Riverside Nephrology PCGroup PAC ID 8426090572, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita North Andover Renal At Home Dialysis facility, North Andover, MA, CCN 222545
• DaVita Wellington Circle Dialysis Center Dialysis facility, Medford, MA, CCN 222542
• Fresenius Medical Care of Methuen Dialysis facility, Methuen, MA, CCN 222565
• Merrimack Health Lawrence Hospital Hospital, Lawrence, MA, CCN 220010
• Holy Family Hospital Hospital, Methuen, MA, CCN 220080
• Anna Jaques Hospital Hospital, Newburyport, MA, CCN 220029

Merit-based Incentive Payment System (MIPS)

Final score

85.32 of 100Reported as individual

Quality

52.81

Promoting interoperability

86

Improvement activities

40

Cost

76.61

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BGIEBA
• Direct secure messaging: eduardo.haddad@he.eclinicaldirectplus.com

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Lawrence General Hospital

  • General Acute Care Hospital
  • Lawrence, MA
  • NPI 1750381281

  Corporate Director

  CMS ownership
• LG Newcorp Inc

  • General Acute Care Hospital
  • Methuen, MA
  • NPI 1265267991

  Corporate Director

  CMS ownership

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.

• Riverside Nephrology PC

  • Nephrology Physician
  • North Andover, MA
  • NPI 1275628174
  Medicare reassignment Care Compare group NPD Authorized official
• Riverside Nephrology

  • Internal Medicine Physician
  • Lawrence, MA
  • NPI 1417237306
  NPD Authorized official

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

• Bio-Medical Applications of Massachusetts, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Methuen, MA
  • NPI 1275542987

  Dialysis facility

  Care Compare affiliation Name & address match
• Dva Healthcare of Massachusetts Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Medford, MA
  • NPI 1891754883

  Dialysis facility

  Care Compare affiliation Name & address match
• Isd Renal Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • North Andover, MA
  • NPI 1871548263

  Dialysis facility

  Care Compare affiliation Name & address match
• Anna Jaques Hospital

  • General Acute Care Hospital
  • Newburyport, MA
  • NPI 1992779482
  Care Compare affiliation
• Lawrence General Hospital

  • General Acute Care Hospital
  • Lawrence, MA
  • NPI 1750381281
  Care Compare affiliation
• LG Newcorp Inc

  • General Acute Care Hospital
  • Methuen, MA
  • NPI 1265267991
  Care Compare affiliation

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1124113022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 UNITED DRIVE",
            "address_2": "SUITE 102",
            "city": "WEST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023791027",
            "telephone_number": "508-238-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 TURNPIKE ST STE 17",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455937",
            "telephone_number": "978-686-4343",
            "fax_number": "978-682-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "EDUARDO",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MA",
            "license": "46060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2099594",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH CARE",
            "identifier": "706045",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "B26244",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael J Grossman, M.D.
• Dylon Grzenda
• Silkia A Guzman-Morales, PTA
• Edilenie Guzman, NP
• H. Manning Curtis, M.D.
• Lyn Hajjar
• Jessica Hall, MS OTR/L
• Julie Haller, DVM
• Kristine Harris, N.P.
• Steven J Harris, M.D.

• Nephrology Physician in North Andover, MA
• Providers in North Andover, MA by specialty
• Nephrology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.