NPIMap

Individual provider Active NPI

Fahed M Hamadeh, M.D.

  • Rheumatology Physician
  • Oklahoma City, OK
National Provider Identifier
1194760918
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
26035 Issued in OK
Practice address
13401 N Western Ave
Suite 210
Oklahoma City, OK 73114-1408
Phone
(405) 272-4953
Fax
(405) 272-4956
NPI assigned
Jun 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K1461 TX
Rheumatology Physician 207RR0500X 26035 OK Primary

Addresses

Primary practice location

13401 N Western Ave
Suite 210
Oklahoma City, OK 73114-1408

Mailing address

PO Box 269064
Oklahoma City, OK 73126-9064
Phone (405) 231-3857

Other identifiers 1

IdentifierTypeStateIssuer
096502201MedicaidTX

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address fhamadeh36942@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20090429000532 OK Practitioner - RheumatologyPractitioner - Internal Medicine 9830008713 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saints Medical Group, LLCGroup PAC ID 7012914898, 430 clinicians

Practice addresses (Care Compare)

1000 N Lee Ave
Oklahoma City, OK 73102-1036
Phone (405) 272-7000

2749 Progressive Dr
Edmond, OK 73034-7649
Phone (405) 772-4130

608 NW 9TH St
Oklahoma City, OK 73102-1049

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.48 of 100Reported as group
Quality
81.18
Promoting interoperability
93
Improvement activities
40
Cost
72.93

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
80.43
Promoting interoperability
100
Improvement activities
40
Cost
72.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K1461TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Care Consultants Region II Inc Internal Medicine CurrentSince Mar 24, 2009 Accepting new patients
Saints Medical Group, LLC CurrentSince Sep 15, 2011 Accepting new patients
SSM Health Care of Oklahoma Inc CurrentSince Dec 1, 2015 Accepting new patients
SSM Health Care of Oklahoma, Inc Current Accepting new patients
SSM Health Care of Oklahoma, Inc. CurrentSince Dec 1, 2015 Accepting new patients
Saints Medical Group, LLC Internal Medicine CurrentSince Sep 15, 2011 Accepting new patients
SSM Health Care of Oklahoma, Inc. Past Accepting new patients
Stonewall Memorial Hospital Past Accepting new patients
Stonewall Memorial Hospital Past Accepting new patients
Summit Medical Center Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

7106 Solutions Ctr
Chicago, IL 60677

1407 N Whisenant Dr
Duncan, OK 73533
Phone (580) 251-8458

1801 W 3rd St
Elk City, OK 73644
Phone 5802255403677

608 NW 9th St
Ste 1100
Oklahoma City, OK 73102
Phone (405) 231-3000

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

13401 N Western Ave
Ste 210
Oklahoma City, OK 73114
Phone (405) 272-4953

3315 Kethley Rd
Shawnee, OK 74804
Phone (405) 273-5801

Interoperability endpoints

  • Direct secure messaging: fhamadeh36942@direct-ehr-ssmhc.com

Organizations & group practices 11

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 7

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": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1194760918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269064",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731269064",
            "telephone_number": "405-231-3857",
            "fax_number": "405-272-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13401 N WESTERN AVE",
            "address_2": "SUITE 210",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731141408",
            "telephone_number": "405-272-4953",
            "fax_number": "405-272-4956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMADEH",
        "first_name": "FAHED",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K1461",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "OK",
            "license": "26035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096502201",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fhamadeh36942@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "fhamadeh36942@direct-ehr-ssmhc.com",
            "address_1": "13401 N Western Ave",
            "address_2": "Suite 210",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731141408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "13401 N Western Ave",
            "address_2": "Suite 210",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731141408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.