Active NPI
Mohamed Atef El-Haddad, M.D
- Cardiovascular Disease Physician
- Roseville, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 4301093761
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
- Henry Ford Health Warren Hospital
- Ascension Providence Rochester Hospital
- Beaumont Hospital - Grosse Pointe
- McLaren Lapeer Region
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 26 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301093761 | MI | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health St. John Hospital | Internal Medicine | Current | Accepting new patients |
| Henry Ford Health St. John Hospital | Current | Accepting new patients | |
| Henry Ford Macomb Hospital Corporation | Internal Medicine | Current | Accepting new patients |
| Northwestern Medical Center, Inc | Current | Accepting new patients | |
| Henry Ford Health Providence Hospital | Current | Accepting new patients | |
| Northwestern Medical Center, Inc. | Current | Accepting new patients | |
| Henry Ford Health Macomb Oakland Hospital | Cardiovascular Disease | Current | Accepting new patients |
| Henry Ford Health Providence Hospital | Cardiovascular Disease | Current | Accepting new patients |
| Henry Ford Health Macomb-Oakland Hospital | Current | Accepting new patients | |
| Northwestern Medical Center, Inc. | Current | Accepting new patients | |
| Henry Ford Macomb Hospital Corporation | Current | 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
- mohamed.el-haddad.1@8209.direct.athenahealth.com
- mohamedel-haddad@ccem.gwaydirect.com
- 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.
-
- Cardiovascular Disease Physician
- Warren, MI
- NPI 1518124320
-
- Podiatrist
- Harrison Township, MI
- NPI 1043478910
-
- Family Medicine Physician
- Clinton TWP, MI
- NPI 1134265986
Internal Medicine
-
- General Acute Care Hospital
- Saint Albans, VT
- NPI 1538293469
-
- Surgery Physician
- Southfield, MI
- NPI 1942265236
-
- Social Worker
- Warren, MI
- NPI 1548609761
-
- Cardiovascular Disease Physician
- Southfield, MI
- NPI 1225093776
-
- Pediatrics Physician
- Southfield, MI
- NPI 1265497226
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1912965088
-
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
-
- Pediatrics Physician
- Saint Albans, VT
- NPI 1003574740
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Warren, MI
- NPI 1124099858
-
- General Acute Care Hospital
- Madison Heights, MI
- NPI 1215139233
-
- General Acute Care Hospital
- Rochester, MI
- NPI 1437176203
-
- General Acute Care Hospital
- Lapeer, MI
- NPI 1205824737
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1811044878
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.