Individual provider Active NPI

Mohamed Atef El-Haddad, M.D

  • Cardiovascular Disease Physician
  • Roseville, MI
National Provider Identifier
1356573091
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301093761 Issued in MI
Practice address
25195 Kelly Rd
Roseville, MI 48066-5084
Phone
(586) 775-4594
Fax
(586) 775-4506
NPI assigned
Aug 13, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301093761 MI
Interventional Cardiology Physician 207RI0011X 4301093761 MI
Cardiovascular Disease Physician 207RC0000X 4301093761 MI Primary

Addresses

Primary practice location

25195 Kelly Rd
Roseville, MI 48066-5084

Mailing address

25195 Kelly Rd
Roseville, MI 48066-5084
Phone (586) 775-4594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, MI2 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
I20151027002586 VT Practitioner - Internal Medicine 9931418282 Reassigns benefits to 1 organization
I20170613001740 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 9931418282 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry Ford Health Macomb Oakland HospitalGroup PAC ID 7315859725, 155 clinicians
Henry Ford Macomb Hospital CorporationGroup PAC ID 7911808381, 349 clinicians
Henry Ford Health St. John HospitalGroup PAC ID 3173424082, 332 clinicians

Practice addresses (Care Compare)

11800 E 12 Mile Rd
Warren, MI 48093-3472
Phone (586) 573-5000

15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone (586) 263-2300

25195 Kelly Rd
Suite a
Roseville, MI 48066-5084
Phone (586) 775-4594

27351 Dequindre Rd
Madison Heights, MI 48071-3487
Phone (248) 967-7000

Hospital & facility affiliations

  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165
  • Henry Ford Health Warren Hospital Hospital, Warren, MI, CCN 230195
  • Ascension Providence Rochester Hospital Hospital, Rochester, MI, CCN 230254
  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089
  • McLaren Lapeer Region Hospital, Lapeer, MI, CCN 230193

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as apm

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting26
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301093761MIMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Oct 1, 2018 Accepting new patients
Henry Ford Macomb Hospital Corporation Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
Northwestern Medical Center, Inc CurrentSince Oct 1, 2015 Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Dec 21, 2025 Accepting new patients
Northwestern Medical Center, Inc. Current Accepting new patients
Henry Ford Health Macomb Oakland Hospital Cardiovascular Disease CurrentSince Nov 13, 2018 Accepting new patients
Henry Ford Health Providence Hospital Cardiovascular Disease CurrentSince Dec 21, 2025 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince Nov 13, 2018 Accepting new patients
Northwestern Medical Center, Inc. CurrentSince Oct 1, 2015 Accepting new patients
Henry Ford Macomb Hospital Corporation CurrentSince Aug 1, 2025 Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
Henry Ford Health Providence Hospital Past Accepting new patients
St. John Hospital Past Accepting new patients

Locations

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733

22201 Moross Rd
Grosse Pointe Woods, MI 48236
Phone (313) 343-3481

1739 N Saginaw St
Lapeer, MI 48446
Phone (810) 245-3446

17900 23 Mile Rd
Ste 303
Macomb, MI 48044
Phone (586) 868-9020

27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000

26850 Providence Pkwy
Ste 205
Novi, MI 48374
Phone (248) 465-3144

1135 W University Dr
Ste 210
Rochester Hls, MI 48307
Phone (248) 650-4660

1101 W University Dr
Rochester Hls, MI 48307
Phone (248) 601-4805

25195 Kelly Rd
Ste A
Roseville, MI 48066
Phone (586) 775-4594

25195 Kelly Rd
Roseville, MI 48066
Phone (586) 775-4594

16001 W 9 Mile Rd
Fl 5
Southfield, MI 48075
Phone (248) 380-4335

3 Crest Rd
Saint Albans, VT 05478
Phone (802) 524-4554

133 Fairfield St
Saint Albans, VT 05478
Phone (802) 524-1227

Interoperability endpoints

  • Direct secure messaging: mohamed.el-haddad.1@8209.direct.athenahealth.com
  • Direct secure messaging: mohamedel-haddad@ccem.gwaydirect.com
  • Direct secure messaging: melhaddad1092114@direct.hfhs.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 7

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": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1356573091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25195 KELLY RD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480665084",
            "telephone_number": "586-775-4594",
            "fax_number": "586-775-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25195 KELLY RD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480665084",
            "telephone_number": "586-775-4594",
            "fax_number": "586-775-4506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-HADDAD",
        "first_name": "MOHAMED",
        "middle_name": "ATEF",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-13",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301093761",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MI",
            "license": "4301093761",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301093761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

Verify at the official NPI Registry.