Individual provider Active NPI

Mohsin T Alhaddad, MD

  • Cardiovascular Disease Physician
  • Jackson, TN
National Provider Identifier
1467624619
Registry record updated Apr 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
48826 Issued in TN
Practice address
327 Summar Dr
Jackson, TN 38301-3930
Phone
(731) 423-8200
Fax
(731) 423-6200
NPI assigned
Mar 27, 2008
Last updated
Apr 28, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 48826 TN Primary

Addresses

Primary practice location

327 Summar Dr
Jackson, TN 38301-3930

Mailing address

327 Summar Dr
Jackson, TN 38301-3930
Phone (731) 423-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MO2 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
I20121011000492 TN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6406036201 Reassigns benefits to 2 organizations
I20180831002262 MO Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 6406036201 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Hometown Urgent Care of Dyersburg, PLLCGroup PAC ID 8820349202, 8 clinicians
Apex Cardiology PCGroup PAC ID 5092702498, 5 clinicians

Practice addresses (Care Compare)

2550 Parr Ave
Dyersburg, TN 38024-2033
Phone (731) 325-5678

327 Summar Dr
Jackson, TN 38301-3930
Phone (731) 423-8200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.94 of 100Reported as group
Quality
51.14
Promoting interoperability
96
Improvement activities
40
Cost
78.66

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting17
Pacemaker insertion or repair24
Varicose vein removal68
Leg revascularization (restoring blood flow)27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48826TNMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Urgent Care of Dyersburg PLLC CurrentSince Jan 8, 2018 Accepting new patients
McPherson Medical & Diagnostic, LLC Current Accepting new patients
Apex Cardiology PC CurrentSince Feb 16, 2015 Accepting new patients
McPherson Medical & Diagnostic, LLC CurrentSince Mar 1, 2020 Accepting new patients
Pemiscot County Memorial Hospital CurrentSince Jul 20, 2018 Accepting new patients
Apex Cardiology PC CurrentSince Feb 16, 2015 Accepting new patients
Pemiscot County Memorial Hospital CurrentSince Jul 20, 2018 Accepting new patients
The Cardiovascular Clinic of West Tennessee,P.C. Cardiovascular Disease Past Accepting new patients

Locations

907 E Reed St
Hayti, MO 63851
Phone (573) 359-3230

946 E Reed St
Hayti, MO 63851
Phone (573) 359-3408

304 Teaco Rd
Kennett, MO 63857
Phone (573) 559-3591

304 Teaco Rd
Ste A
Kennett, MO 63857
Phone (573) 559-3591

901 W Commercial St
Kennett, MO 63857
Phone (573) 695-2181

216 W Main St
Steele, MO 63877
Phone (573) 695-2181

216 W Main St
Ste B
Steele, MO 63877
Phone (573) 695-2181

2550 Parr Ave
Dyersburg, TN 38024
Phone (731) 325-5678

557 W Park Pl
Henderson, TN 38340
Phone (731) 989-1007

327 Summar Dr
Jackson, TN 38301
Phone (731) 325-5678

319 Asbury Ave
Ripley, TN 38063
Phone (731) 221-2200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mohsin.alhaddad.p1@direct.apexcardio.nextgenshare.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 4

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": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430179200000",
    "number": "1467624619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 SUMMAR DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013930",
            "telephone_number": "731-423-8200",
            "fax_number": "731-423-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 SUMMAR DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013930",
            "telephone_number": "731-423-8200",
            "fax_number": "731-423-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALHADDAD",
        "first_name": "MOHSIN",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-27",
        "last_updated": "2015-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "48826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.