Active NPI
Ribal Haddad, MD
- Neurology Physician
- Urbana, IL
National Provider Identifier
1306331889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 125.072433
- Practice address
- 611 W Park St
Urbana, IL 61801-2501 - Phone
- (217) 383-3440
- NPI assigned
- Jun 26, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 125.072433 | IL | Primary |
Addresses
Primary practice location
611 W Park St
Urbana, IL 61801-2501
Mailing address
611 W Park St
Fapc
Urbana, IL 61801-2500
Other practice location 1
2650 Ridge Ave Ste 1304
Evanston, IL 60201-1700
Phone (847) 570-4789
Other practice location 2
5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (773) 702-0151
Other practice location 3
12901 Bruce B Downs Blvd
Tampa, FL 33612-4742
Phone (813) 974-3541
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
200 Lerna Rd S
Mattoon, IL 61938-9388
Phone (217) 258-5900
3103 Fields S Dr
Champaign, IL 61822-3743
Phone (217) 902-2300
516 W Madison St
Danville, IL 61832-5657
611 W Park St
Urbana, IL 61801-2500
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
Hospital & facility affiliations
- Carle Foundation Hospital
- Carle Hoopeston Regional Health Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carle Health Care Incorporated | Current | Accepting new patients | |
| The Carle Foundation Hospital | Past | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients | |
| Carle Health Care Incorporated | Past | Accepting new patients |
Locations
3105 Fields South Dr
Champaign, IL 61822
Phone (217) 902-3277
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Interoperability endpoints
- rhaddadmd375474@carlehiedirect.net
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.
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Durable Medical Equipment & Medical Supplies
- Champaign, IL
- NPI 1114240876
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
-
- General Acute Care Hospital
- Urbana, IL
- NPI 1013071653
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Hoopeston, IL
- NPI 1366480873
-
- General Acute Care Hospital
- Urbana, IL
- NPI 1013071653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708041600000",
"number": "1306331889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 W PARK ST",
"address_2": "FAPC",
"city": "URBANA",
"state": "IL",
"postal_code": "618012500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 W PARK ST",
"city": "URBANA",
"state": "IL",
"postal_code": "618012501",
"telephone_number": "217-383-3440"
}
],
"practiceLocations": [
{
"address_1": "2650 Ridge Ave Ste 1304",
"address_purpose": "LOCATION",
"city": "Evanston",
"state": "IL",
"postal_code": "602011700",
"country_code": "US",
"telephone_number": "847-570-4789",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5841 S Maryland Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606371443",
"country_code": "US",
"telephone_number": "773-702-0151",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12901 Bruce B Downs Blvd",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336124742",
"country_code": "US",
"telephone_number": "813-974-3541",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HADDAD",
"first_name": "RIBAL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-26",
"last_updated": "2024-02-16",
"certification_date": "2024-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "125.072433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Urbana, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.
- 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.