Individual provider Active NPI

Haitham El-Haddad, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Clinton Township, MI
National Provider Identifier
1760790976
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
4301097302 Issued in MI
Practice address
15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone
(800) 532-2411
NPI assigned
Sep 22, 2010
Last updated
Oct 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301097302 MI
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 4301097302 MI Primary
Pulmonary Disease Physician 207RP1001X 25626 MS
Pulmonary Disease Physician 207RP1001X 56072 TN
Pulmonary Disease Physician 207RP1001X 4301097302 MI

Addresses

Primary practice location

15855 19 Mile Rd
Clinton Township, MI 48038-3504

Mailing address

1 Ford PL Ste 3a
Detroit, MI 48202-3450
Phone (313) 874-4806

Other practice location 1

4201 St Antoine ST
Detroit Medical Center.
Detroit, MI 48201-1339
Phone (313) 408-1707

Other practice location 2

2120 Exeter Rd Ste 250
Germantown, TN 38138-3931
Phone (901) 767-5864

Other practice location 3

401 Southcrest Cir Ste 212
Southaven, MS 38671-6721
Phone (662) 349-0488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS, MI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20180109000048 TN Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 5496056079 Reassigns benefits to 1 organization
I20180403000878 MS Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 5496056079 Reassigns benefits to 1 organization
I20220329001687 MI Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 5496056079 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians
Memphis Lung Physicians Foundation, Inc.Group PAC ID 4981876307, 57 clinicians

Practice addresses (Care Compare)

15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone (586) 263-2300

2120 Exeter Rd
Suite 250
Germantown, TN 38138-3931
Phone (901) 767-5864

2799 W Grand Blvd
Detroit, MI 48202-2608

3500 15 Mile Rd
Sterling Heights, MI 48310-5353
Phone (586) 977-9300

363 Southcrest Cir
Southaven, MS 38671-4737

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (662) 772-2980

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301097302MIMDPulmonary Disease Physician
56072TNMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Macomb Hospital Corporation CurrentSince Mar 1, 2022 Accepting new patients
Henry Ford Health System Current Accepting new patients
Henry Ford Macomb Hospital Corporation Internal Medicine Current Accepting new patients
Henry Ford Wyandotte Hospital CurrentSince Sep 1, 2023 Accepting new patients
W.a. Foote Memorial Hospital, Inc Pulmonary Disease CurrentSince Sep 1, 2024 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Sep 1, 2024 Accepting new patients
Henry Ford Wyandotte Hospital Critical Care Medicine CurrentSince Sep 1, 2023 Accepting new patients
Henry Ford Wyandotte Hospital Current Accepting new patients
W. a. Foote Memorial Hospital, Inc Internal Medicine Current Accepting new patients
Henry Ford Health System Pulmonary Disease CurrentSince Mar 1, 2022 Accepting new patients
Memphis Lung Physicians Foundation, Inc. Critical Care Medicine CurrentSince Oct 1, 2017 Accepting new patients
Henry Ford Macomb Hospital Corporation Pulmonary Disease CurrentSince Mar 1, 2022 Accepting new patients
Henry Ford Health System CurrentSince Mar 1, 2022 Accepting new patients
Memphis Lung Physicians, P.C. Pulmonary Disease PastSince Oct 1, 2017 Accepting new patients

Locations

23050 West Rd
Ste 120
Brownstown Twp, MI 48183
Phone (734) 671-1510

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000

2070 Biddle Ave
Ste 2
Wyandotte, MI 48192
Phone (734) 284-7482

2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000

363 Southcrest Cir
Ste 201
Southaven, MS 38671
Phone (662) 349-0488

401 Southcrest Cir
Ste 212
Southaven, MS 38671
Phone (662) 245-5270

1500 W Poplar Ave
Ste 309
Collierville, TN 38017
Phone (901) 767-5864

2120 Exeter Rd
Ste 250
Memphis, TN 38138
Phone (901) 767-5864

6025 Walnut Grove Rd
Ste 508
Memphis, TN 38120
Phone (901) 767-5864

Interoperability endpoints

  • Direct secure messaging: helhaddad145823@direct.bmhcc.org
  • Direct secure messaging: helhaddad773842@direct.hfhs.org

Organizations & group practices 14

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.

View all 14

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": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1760790976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FORD PL STE 3A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023450",
            "telephone_number": "313-874-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15855 19 MILE RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480383504",
            "telephone_number": "800-532-2411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4201 St Antoine ST",
            "address_2": "Detroit Medical Center.",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482011339",
            "country_code": "US",
            "telephone_number": "313-408-1707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2120 Exeter Rd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381383931",
            "country_code": "US",
            "telephone_number": "901-767-5864",
            "fax_number": "901-767-6591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Southcrest Cir Ste 212",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386716721",
            "country_code": "US",
            "telephone_number": "662-349-0488",
            "fax_number": "662-349-5974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EL-HADDAD",
        "first_name": "HAITHAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-22",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301097302",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MI",
            "license": "4301097302",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MS",
            "license": "25626",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "56072",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301097302",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.