Individual provider Active NPI

Haddis Hagos, MD

  • Pain Medicine (Anesthesiology) Physician
  • Greenbelt, MD
National Provider Identifier
1386613347
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
D0059481 Issued in MD
Practice address
7300 Hanover Dr
Suite 204
Greenbelt, MD 20770-2202
Phone
(301) 220-2333
Fax
(301) 220-2339
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X D0059481 MD
Pain Medicine (Anesthesiology) Physician 207LP2900X D0059481 MD Primary

Addresses

Primary practice location

7300 Hanover Dr
Suite 204
Greenbelt, MD 20770-2202

Mailing address

7300 Hanover Dr
Suite 204
Greenbelt, MD 20770-2202
Phone (301) 220-2333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20060215000753 DC Practitioner - Anesthesiology 0345265112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pain Management Associates, LLCGroup PAC ID 0547285314, 4 clinicians

Practice addresses (Care Compare)

7300 Hanover Dr
Suite 204
Greenbelt, MD 20770-2247
Phone (301) 220-2333

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Management Associates, LLC Pain Medicine CurrentSince Oct 1, 2002 Accepting new patients
Washington Hospital Center Corp Anesthesiology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Georgetown Pain Management LLC Anesthesiology PastSince Oct 1, 2002 Accepting new patients

Locations

7500 Greenway Center Dr
Ste 940
Greenbelt, MD 20770
Phone (301) 220-2333

7300 Hanover Dr
Ste 204
Greenbelt, MD 20770
Phone (240) 297-9016

Interoperability endpoints

  • Direct secure messaging: hhagos@2413.securemail.prognocis.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249948800000",
    "number": "1386613347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 HANOVER DR",
            "address_2": "SUITE 204",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702202",
            "telephone_number": "301-220-2333",
            "fax_number": "301-220-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 HANOVER DR",
            "address_2": "SUITE 204",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702202",
            "telephone_number": "301-220-2333",
            "fax_number": "301-220-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGOS",
        "first_name": "HADDIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2009-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0059481",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MD",
            "license": "D0059481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

Verify at the official NPI Registry.