Individual provider Active NPI

Daniel S Haddad, M.D.,P.C.

  • Ophthalmology Physician
  • Troy, MI
National Provider Identifier
1730157660
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301405654 Issued in MI
Practice address
355 E Big Beaver Rd
Troy, MI 48083-1225
Phone
(248) 689-4247
Fax
(248) 689-4044
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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 4301405654 MI Primary

Addresses

Primary practice location

355 E Big Beaver Rd
Troy, MI 48083-1225

Mailing address

355 E Big Beaver Rd
Troy, MI 48083-1225
Phone (248) 689-4247

Other identifiers 1

IdentifierTypeStateIssuer
1954551MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20080201000548 MI Practitioner - Ophthalmology 9537241260 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York Medical College, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daniel S Haddad MD PCGroup PAC ID 8527140250, 2 clinicians

Practice addresses (Care Compare)

355 E Big Beaver Rd
Laser Eye Institute
Troy, MI 48083-1210
Phone (248) 689-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery22

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Physician Group CurrentSince Jan 13, 2016 Accepting new patients
Daniel S Haddad, MD,PC Ophthalmology CurrentSince Dec 13, 2007 Accepting new patients
University Physician Group Ophthalmology CurrentSince Jan 13, 2016 Accepting new patients

Locations

4700 Schaefer Rd
Ste 260
Dearborn, MI 48126
Phone (313) 945-8270

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200

355 E Big Beaver Rd
Troy, MI 48083
Phone (248) 680-7400

Interoperability endpoints

  • Direct secure messaging: daniel.haddad.p1@direct.lei.nextgenshare.com

Organizations & group practices 3

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1730157660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 E BIG BEAVER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831225",
            "telephone_number": "248-689-4247",
            "fax_number": "248-689-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 E BIG BEAVER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831225",
            "telephone_number": "248-689-4247",
            "fax_number": "248-689-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "DANIEL",
        "middle_name": "S",
        "credential": "M.D.,P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301405654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1954551",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.