Individual provider Active NPI

Sarmed Al-Haddad, M.D.

  • Emergency Medicine Physician
  • Sanford, FL
National Provider Identifier
1215323894
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME140694 Issued in FL
Practice address
4525 International Pkwy
Sanford, FL 32771-9624
Phone
(407) 328-0201
NPI assigned
Apr 10, 2015
Last updated
Mar 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME140694 FL Primary

Addresses

Primary practice location

4525 International Pkwy
Sanford, FL 32771-9624

Mailing address

255 Wheelhouse LN Apt 335
Lake Mary, FL 32746-3799
Phone (404) 993-7291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WV2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20190712001488 FL Practitioner - Emergency Medicine 8628371630 Reassigns benefits to 1 organization
I20201009000964 WV Practitioner - Family Practice 8628371630 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Princeton Community Hospital Assn Inc. CurrentSince Jun 1, 2021 Accepting new patients
Princeton Community Hospital Assn., Inc CurrentSince Jun 1, 2021 Accepting new patients
Greenbrier Emergency Services, Inc. Emergency Medicine CurrentSince Sep 14, 2020 Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

2361 N Semoran Blvd
Orlando, FL 32807
Phone (407) 359-6010

8300 Red Bug Lake Rd
Oviedo, FL 32765
Phone (407) 359-6007

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316

401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325

500 Cherry St
Bluefield, WV 24701
Phone (304) 324-2614

122 12th St
Princeton, WV 24740
Phone (304) 487-7061

601 Colliers Way
Weirton, WV 26062
Phone (304) 364-5156

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1215323894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 WHEELHOUSE LN APT 335",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463799",
            "telephone_number": "404-993-7291",
            "fax_number": "404-752-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 INTERNATIONAL PKWY",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327719624",
            "telephone_number": "407-328-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-HADDAD",
        "first_name": "SARMED",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-10",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME140694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

Verify at the official NPI Registry.