Active NPI
Hadeel Abaza, MD
- Pediatric Orthopaedic Surgery Physician
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- License
- 35087835
- Practice address
- 2121 Hughes Dr
Suite 980
Toledo, OH 43606-3845 - Phone
- (419) 291-2345
- Fax
- (419) 291-2249
- NPI assigned
- May 10, 2007
- Last updated
- Apr 23, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | 35087835 | OH | Primary |
Addresses
Primary practice location
2121 Hughes Dr
Suite 980
Toledo, OH 43606-3845
Mailing address
2121 Hughes Dr
Suite 980
Toledo, OH 43606-3845
Phone (419) 291-2345
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000576744 | Other | OH | ANTHEM |
| 2867198 | Medicaid | OH | |
| 50027 | Other | OH | HEALTH PLAN OF MICHIGAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health St. John Hospital | Current | Accepting new patients | |
| Pathology Specialists of Southeast Michigan PC | Current | Accepting new patients | |
| Northwest Pediatric Specialists, LLC | Current | Accepting new patients | |
| Henry Ford Health St. John Hospital | Current | Accepting new patients | |
| Henry Ford Semi Medical Group | Current | Accepting new patients | |
| Henry Ford Semi Medical Group | Current | Accepting new patients | |
| Henry Ford Health St. John Hospital | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248
22101 Moross Rd
#214
Detroit, MI 48236
22101 Moross Rd
Ste 214
Detroit, MI 48236
Phone (313) 343-4867
22201 Moross Rd
Ste 214
Detroit, MI 48236
Phone (313) 343-7110
30117 Schoenherr Rd
Ste 400
Warren, MI 48088
Phone (586) 552-4848
3521 Briarfield Blvd
Maumee, OH 43537
Phone (419) 794-7259
7640 Sylvania Ave
Ste E
Sylvania, OH 43560
Phone (419) 473-2273
2222 Cherry St
Toledo, OH 43608
Phone (419) 251-4200
Interoperability endpoints
- habaza1158888@direct.hfhs.org
- https://api.platform.athenahealth.com/2229/brand/3/csg/621/fhir/r4
- https://hkc.nationwidechildrens.org/FHIR/MYCHART/api/FHIR/R4
Organizations & group practices 8
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.
-
- Pediatrics Physician
- Toledo, OH
- NPI 1033709100
-
dba St John North Shores Hospital
- Podiatrist
- Harrison Township, MI
- NPI 1043478910
-
- Endocrinology, Diabetes & Metabolism Physician
- Novi, MI
- NPI 1114133485
-
dba St John Hospital and Medical Center
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
-
dba Henry Ford St John Hospital
- Internal Medicine Physician
- Detroit, MI
- NPI 1912965088
-
- Surgery Physician
- Detroit, MI
- NPI 1629272968
-
- Anatomic Pathology & Clinical Pathology Physician
- Detroit, MI
- NPI 1023100500
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335139200000",
"number": "1619181559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 HUGHES DR",
"address_2": "SUITE 980",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436063845",
"telephone_number": "419-291-2345",
"fax_number": "419-291-2249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 HUGHES DR",
"address_2": "SUITE 980",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436063845",
"telephone_number": "419-291-2345",
"fax_number": "419-291-2249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABAZA",
"first_name": "HADEEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2012-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "OH",
"license": "35087835",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000576744",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2867198",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLAN OF MICHIGAN",
"identifier": "50027",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.