Individual provider Active NPI

Haidar Kabbani, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Toledo, OH
National Provider Identifier
1144203753
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
35.096508 Issued in OH
Practice address
2130 W Central Avenue
#101, #102, #103
Toledo, OH 43606
Phone
(419) 291-3900
Fax
(419) 479-6055
NPI assigned
Nov 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 35.096508 OH
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 35.096508 OH Primary
Epilepsy Physician 2084E0001X 35.096508 OH

Addresses

Primary practice location

2130 W Central Avenue
#101, #102, #103
Toledo, OH 43606

Mailing address

2130 W Central Ave Ste 101
Toledo, OH 43606-3819

Other identifiers 1

IdentifierTypeStateIssuer
0444802MedicaidIA

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address hkabbani683673@Direct.Parkviewexchange.com
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
Direct Messaging Address hkabbani96127@direct.luhs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL, OH, ND, AZ, IN6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20161108001423 WI Practitioner - NeurologyPractitioner - Pediatric Medicine 0749201994 Reassigns benefits to 10 organizations
I20161114000367 IL Practitioner - NeurologyPractitioner - Pediatric MedicinePractitioner - Epileptologists 0749201994 Reassigns benefits to 5 organizations
I20170214002196 OH Practitioner - Neurology 0749201994 Reassigns benefits to 1 organization
I20230718000676 ND Practitioner - Other (Physician) 0749201994 Reassigns benefits to 1 organization
I20240716004580 AZ Practitioner - Neurology 0749201994
I20250915002125 IN Practitioner - Neurology 0749201994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11109 Parkview Plaza Dr
Suite 117
Fort Wayne, IN 46845-1701

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Rush University Medical Group Family Medicine CurrentSince Jul 1, 2022 Accepting new patients
Cook County Family Medicine CurrentSince Jun 22, 2023 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Feb 27, 2023 Accepting new patients
SCL Health Medical Group - Billings LLC Current Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Apr 1, 2023 Accepting new patients
Flambeau Hospital Inc CurrentSince Feb 27, 2023 Accepting new patients
MCHS Hospitals Inc CurrentSince Feb 27, 2023 Accepting new patients
Flambeau Hospital Inc CurrentSince Feb 27, 2023 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Feb 27, 2023 Accepting new patients
Sanford Medical Center Fargo CurrentSince May 29, 2023 Accepting new patients
Marshfield Clinic Inc CurrentSince Feb 27, 2023 Accepting new patients
Rush University Medical Center CurrentSince Jul 1, 2022 Accepting new patients
Board of Trustees of the University of Illinois Pediatrics CurrentSince Apr 1, 2023 Accepting new patients
The Medical College of Wisconsin, Inc. Family Medicine CurrentSince Oct 20, 2016 Accepting new patients
Parkview Health System Inc Family Medicine CurrentSince Sep 5, 2025 Accepting new patients
Sanford Medical Center Fargo Family Medicine CurrentSince May 29, 2023 Accepting new patients
Memorial Hospital Inc CurrentSince Feb 27, 2023 Accepting new patients
Cook County CurrentSince Jun 22, 2023 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Feb 27, 2023 Accepting new patients
Cook County Current Accepting new patients
MCHS Hospitals Inc CurrentSince Feb 27, 2023 Accepting new patients
Carle Health Care Incorporated Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations (25 of 28)

500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021

7694 Solutions Ctr
Chicago, IL 60677

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1725 W Harrison St
Ste 710
Chicago, IL 60612
Phone (312) 942-5983

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

75 Remittance Dr
Dept 1611
Chicago, IL 60675

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

200 E Pennsylvania Ave
Peoria, IL 61603
Phone (309) 624-4000

420 NE Glen Oak Ave
Peoria, IL 61603
Phone (309) 655-2343

1 Illini Dr
Peoria, IL 61605
Phone (309) 671-3000

530 NE Glen Oak Ave
Peoria, IL 61637
Phone (309) 655-2553

817 Trail Ridge Rd
Albion, IN 46701
Phone (260) 373-9590

11123 Parkview Plaza Dr
Ste 201
Fort Wayne, IN 46845
Phone (260) 266-8392

11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012

240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000

1232 N 30th St
Ste 200
Billings, MT 59101
Phone (406) 237-5300

1233 N 30th St
Billings, MT 59101
Phone (406) 237-3850

16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

Bin 88350
Milwaukee, WI 53288
Phone (414) 805-3122

Interoperability endpoints

  • Direct secure messaging: hkabbanimd219274@carlehiedirect.net
  • Direct secure messaging: hkabbani683673@direct.parkviewexchange.com

Organizations & group practices 30

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.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1144203753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 W CENTRAL AVE STE 101",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 W CENTRAL AVENUE",
            "address_2": "#101, #102, #103",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43606",
            "telephone_number": "419-291-3900",
            "fax_number": "419-479-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABBANI",
        "first_name": "HAIDAR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35.096508",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "OH",
            "license": "35.096508",
            "primary": true
        },
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "OH",
            "license": "35.096508",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0444802",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hkabbani683673@Direct.Parkviewexchange.com",
            "affiliation": "N",
            "address_1": "11123 Parkview Plaza Dr Ste 201",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "11123 Parkview Plaza Dr Ste 201",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "11123 Parkview Plaza Dr Ste 201",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hkabbani96127@direct.luhs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2160 S 1st Ave",
            "city": "Maywood",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.