NPIMap

Individual provider Active NPI

Maen Haddadin, M.D.

  • Family Medicine Physician
  • Omaha, NE
National Provider Identifier
1316097314
Registry record updated Nov 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26986 Issued in NE
Practice address
17030 Lakeside Hills PLZ Ste 102
Omaha, NE 68130-4656
Phone
(402) 758-5800
Fax
(402) 758-5809
NPI assigned
Jan 11, 2007
Last updated
Nov 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 32042 IA
Family Medicine Physician 207Q00000X 26986 NE Primary

Addresses

Primary practice location

17030 Lakeside Hills PLZ Ste 102
Omaha, NE 68130-4656

Mailing address

2510 Bellevue Medical Center Dr
Suite 145a
Bellevue, NE 68123
Phone (402) 779-7207

Other practice location 1

2510 Bellevue Medical Center Drive
Suite 145A
Bellevue, NE 68123
Phone (402) 779-7207

Other identifiers 1

IdentifierTypeStateIssuer
10025944600MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060405000049 IA Practitioner - Family Practice 3779591599 Reassigns benefits to 1 organization
I20160121001078 NE Practitioner - Family Practice 3779591599 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulse Point Medical Solutions LLCGroup PAC ID 8729573654, 4 clinicians
Internal Medicine Physicians P.C.Group PAC ID 4183727266, 11 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

14104 S St
Omaha, NE 68137-2636
Phone (402) 964-2332

17030 Lakeside Hills PLZ
Suite 102
Omaha, NE 68130-4656
Phone (402) 758-5800

2600 Compass Rd
Glenview, IL 60026-8001

3000 Risen Son Blvd
Council Bluffs, IA 51503-1911
Phone (712) 366-9655

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions11
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32042IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eon Care Clinicians PC CurrentSince Jan 4, 2026 Accepting new patients
Internal Medicine Physicians P.C. Family Medicine CurrentSince Feb 1, 2020 Accepting new patients
Bellevue Primary Healthcare PC Family Medicine CurrentSince Jun 1, 2021 Accepting new patients
Great Plains Mental Health Associates LLC CurrentSince Mar 1, 2025 Accepting new patients
Lifecare Family Medicine of Bellevue, P.C. Family Medicine CurrentSince Aug 14, 2017 Accepting new patients
Pulse Point Medical Solutions LLC Family Medicine CurrentSince Jan 1, 2026 Accepting new patients

Locations

1320 Galvin Rd S
Bellevue, NE 68005
Phone (402) 603-0839

2510 Bellevue Medical Center Dr
Ste 145A
Bellevue, NE 68123
Phone (402) 779-7207

10685 Bedford Ave
Omaha, NE 68134
Phone (402) 898-4768

14104 S St
Omaha, NE 68137
Phone (402) 827-6710

17030 Lakeside Hills Plz
Ste 102
Omaha, NE 68130
Phone (402) 435-1400

4102 Woolworth Ave
Omaha, NE 68105
Phone (402) 444-7000

4610 S 133rd St
Ste 109
Omaha, NE 68137
Phone (402) 614-0010

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11675/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/21060/brand/4/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/4492e985-44bf-43dd-a2f3-262f81a54d5c/
  • Direct secure messaging: maen.haddadin.1@11675.direct.athenahealth.com

Organizations & group practices 7

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 6

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1316097314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 BELLEVUE MEDICAL CENTER DR",
            "address_2": "SUITE 145A",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "68123",
            "telephone_number": "402-779-7207",
            "fax_number": "402-779-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17030 LAKESIDE HILLS PLZ STE 102",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681304656",
            "telephone_number": "402-758-5800",
            "fax_number": "402-758-5809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2510 Bellevue Medical Center Drive",
            "address_2": "Suite 145A",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "NE",
            "postal_code": "68123",
            "country_code": "US",
            "telephone_number": "402-779-7207",
            "fax_number": "402-779-7210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HADDADIN",
        "first_name": "MAEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "32042",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "26986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025944600",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.