Individual provider Active NPI

Nassim Haddad, MD

  • Interventional Cardiology Physician
  • Scottsdale, AZ
National Provider Identifier
1316060619
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
41503 Issued in AZ
Practice address
10101 N 92ND St Ste 101
Scottsdale, AZ 85258-4553
Phone
(480) 747-6532
Fax
(480) 889-6865
NPI assigned
Apr 9, 2007
Last updated
Jul 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiac Rehabilitation Registered Nurse 163WC3500X 41503 AZ
Cardiovascular Disease Physician 207RC0000X 41503 AZ
Interventional Cardiology Physician 207RI0011X 41503 AZ Primary

Addresses

Primary practice location

10101 N 92ND St Ste 101
Scottsdale, AZ 85258-4553

Mailing address

10101 N 92ND St Ste 101
Scottsdale, AZ 85258-4553
Phone (480) 747-6532

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Nassim.haddad@cs.eclinicaldirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090812000116 AZ Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Geriatric MedicinePractitioner - Other (Physician) 6608920517 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Livwell Health LLCGroup PAC ID 1052738440, 9 clinicians
Nassim Haddad MD PLLCGroup PAC ID 6204084973, 11 clinicians
Cardiovascular Lab of Arizona LLCGroup PAC ID 1850799131, 3 clinicians

Practice addresses (Care Compare)

10101 N 92ND St
Suite 101
Scottsdale, AZ 85258-4553
Phone (602) 688-2248

16638 N 90TH St
Suite 101
Scottsdale, AZ 85260-1539
Phone (480) 506-0484

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting41
Varicose vein removal37
Leg revascularization (restoring blood flow)29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41503AZMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usha Medical Services PLC Cardiac Rehabilitation Current Accepting new patients
Millersburg Clinic, Inc. Current Accepting new patients
Cardiovascular Lab of Arizona LLC Interventional Cardiology CurrentSince Aug 28, 2021 Accepting new patients
Livwell Health LLC CurrentSince Jan 1, 2026 Accepting new patients
Nassim Haddad MD PLLC Cardiac Rehabilitation CurrentSince Mar 19, 2012 Accepting new patients
Nassim Haddad MD PLLC Cardiovascular Disease Past Accepting new patients
Nassim Haddad MD PLLC Cardiovascular Disease Past Accepting new patients
Nassim Haddad MD PLLC Cardiovascular Disease Past Accepting new patients
Nassim Haddad MD PLLC Cardiovascular Disease Past Accepting new patients

Locations

13430 N Saguaro Blvd
Ste 100
Fountain Hills, AZ 85268
Phone (480) 445-9199

10101 N 92nd St
Ste 101
Scottsdale, AZ 85258
Phone (480) 860-1919

10101 N 92nd St
Ste 102
Scottsdale, AZ 85258

16638 N 90th St
Ste 101
Scottsdale, AZ 85260
Phone (480) 506-0484

8541 E Anderson Dr
Ste 104
Scottsdale, AZ 85255
Phone (323) 351-4233

9445 E Ironwood Square Dr
Ste 110
Scottsdale, AZ 85258
Phone (480) 391-3686

490 W Bralliar Rd
Wickenburg, AZ 85390
Phone (623) 974-0522

1261 Wooster Rd
Ste 230
Millersburg, OH 44654
Phone (330) 674-3434

5354 Township Road 336
Unit B
Millersburg, OH 44654
Phone (330) 674-3434

Interoperability endpoints

  • Direct secure messaging: nassim.haddad@cs.eclinicaldirect.com
  • Direct secure messaging: nassim.haddad@cs.eclinicaldirectplus.com

Organizations & group practices 9

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.

Hospital & facility affiliations 5

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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1316060619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 N 92ND ST STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584553",
            "telephone_number": "480-747-6532",
            "fax_number": "480-889-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 N 92ND ST STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584553",
            "telephone_number": "480-747-6532",
            "fax_number": "480-889-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "NASSIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC3500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Cardiac Rehabilitation",
            "state": "AZ",
            "license": "41503",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "41503",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "41503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Nassim.haddad@cs.eclinicaldirect.com",
            "affiliation": "N",
            "endpointDescription": "EMR direct messaging",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10101 N 92nd St Ste 101",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852584553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.