Individual provider Active NPI

Hadeel Abaza, MD

  • Pediatric Orthopaedic Surgery Physician
  • Toledo, OH
National Provider Identifier
1619181559
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
35087835 Issued in OH
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, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000576744OtherOHANTHEM
2867198MedicaidOH
50027OtherOHHEALTH PLAN OF MICHIGAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, 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
I20080917000554 OH Practitioner - Orthopedic SurgeryPractitioner - Pediatric Medicine 6608943642 Reassigns benefits to 1 organization
I20160329000581 MI Practitioner - Orthopedic Surgery 6608943642 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital CurrentSince Jun 15, 2023 Accepting new patients
Pathology Specialists of Southeast Michigan PC Current Accepting new patients
Northwest Pediatric Specialists, LLC CurrentSince Dec 1, 2023 Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
Henry Ford Semi Medical Group CurrentSince Mar 1, 2016 Accepting new patients
Henry Ford Semi Medical Group CurrentSince Mar 1, 2016 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Jun 15, 2023 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

  • Direct secure messaging: habaza1158888@direct.hfhs.org
  • FHIR API: https://api.platform.athenahealth.com/2229/brand/3/csg/621/fhir/r4
  • FHIR API: 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.

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

Verify at the official NPI Registry.