Individual provider Active NPI

Nour Maya Haddad, M.D

  • Ophthalmology Physician
  • Waterville, ME
National Provider Identifier
1689947731
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD22966 Issued in ME
Practice address
325A Kennedy Memorial Dr
Waterville, ME 04901-4517
Phone
(207) 873-2731
Fax
(207) 873-1106
NPI assigned
Feb 21, 2012
Last updated
Dec 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD22966 ME Primary

Addresses

Primary practice location

325A Kennedy Memorial Dr
Waterville, ME 04901-4517

Mailing address

325A Kennedy Memorial Dr
Waterville, ME 04901-4517
Phone (207) 873-2731

Other practice location 1

22 Station Ave
Brunswick, ME 04011-2092
Phone (207) 725-7971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20190910000846 ME Practitioner - Ophthalmology 0345488011 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

22 Station Ave
Brunswick, ME 04011-2092

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery106

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD22966MEMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Feb 13, 2023 Accepting new patients
Maine Eye Care Associates Ophthalmology CurrentSince Aug 2, 2019 Accepting new patients
Mainehealth CurrentSince Feb 13, 2023 Accepting new patients
Mainehealth Current Accepting new patients
Maine Eye Care Associates CurrentSince Aug 2, 2019 Accepting new patients

Locations

130 Main St
Farmington, ME 04938
Phone (207) 778-2100

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

325A Kennedy Memorial Dr
Waterville, ME 04901
Phone (207) 667-9690

Interoperability endpoints

  • Direct secure messaging: nhaddad563835@direct.mmc.mainehealth.org

Organizations & group practices 5

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 1

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": "1329782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1689947731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325A KENNEDY MEMORIAL DR",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014517",
            "telephone_number": "207-873-2731",
            "fax_number": "207-873-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325A KENNEDY MEMORIAL DR",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014517",
            "telephone_number": "207-873-2731",
            "fax_number": "207-873-1106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Station Ave",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "ME",
            "postal_code": "040112092",
            "country_code": "US",
            "telephone_number": "207-725-7971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "NOUR MAYA",
        "name_prefix": "Miss",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-21",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "ME",
            "license": "MD22966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterville, ME

Sources for this page

Verify at the official NPI Registry.