Active NPI
Lorette N Haddad, MD
- Pediatrics Physician
- Dearborn Heights, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301071140
- Practice address
- 23801 W Warren St
Dearborn Heights, MI 48127-2236 - Phone
- (313) 908-5856
- NPI assigned
- Jun 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301071140 | MI | Primary |
Addresses
Primary practice location
23801 W Warren St
Dearborn Heights, MI 48127-2236
Mailing address
4201 St. Antoine - Uhc 5D Mailbox 226
University Pediatricians
Detroit, MI 48201
Phone (313) 745-4405
Other practice location 1
3901 Beaubien - ER Dept - Ground FL
Childrens Hospital of MI
Detroit, MI 48201
Phone (313) 745-5260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301071140 | MI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Pediatricians | Pediatrics | Current | Accepting new patients |
| University Pediatricians | Pediatrics | Current | Accepting new patients |
| Pediatric & Adolescent Clinic of Michigan | Past | Accepting new patients | |
| Boriboon Pediatrics | Past | Accepting new patients |
Locations
4201 Saint Antoine St
#5D
Detroit, MI 48201
Phone (313) 566-9051
3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227
Interoperability endpoints
- lhaddad@direct.dmc.org
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Detroit, MI
- NPI 1811920549
-
- Pediatric Adolescent Medicine Physician
- Livonia, MI
- NPI 1477943900
-
- Pediatrics Physician
- Detroit, MI
- NPI 1184471690
-
- Pediatric Adolescent Medicine Physician
- Dearborn, MI
- NPI 1932313798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1265472104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 ST. ANTOINE - UHC 5D MAILBOX 226",
"address_2": "UNIVERSITY PEDIATRICIANS",
"city": "DETROIT",
"state": "MI",
"postal_code": "48201",
"telephone_number": "313-745-4405",
"fax_number": "313-966-0665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23801 W WARREN ST",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481272236",
"telephone_number": "313-908-5856"
}
],
"practiceLocations": [
{
"address_1": "3901 Beaubien - ER Dept - Ground FL",
"address_2": "Childrens Hospital of MI",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "48201",
"country_code": "US",
"telephone_number": "313-745-5260",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HADDAD",
"first_name": "LORETTE",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301071140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.