Individual provider Active NPI

Judy Hamad, MD

  • Dermatology Physician
  • Indianapolis, IN
National Provider Identifier
1821624321
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
4301517686 Issued in MI
Practice address
350 W 11TH St RM 4010
Indianapolis, IN 46202-4108
Phone
(317) 274-1618
NPI assigned
Mar 16, 2020
Last updated
Jul 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 4301517686 MI Primary
Dermatopathology Physician 207ND0900X 4301517686 MI

Addresses

Primary practice location

350 W 11TH St RM 4010
Indianapolis, IN 46202-4108

Mailing address

350 W 11TH St RM 4010
Indianapolis, IN 46202-4108
Phone (317) 274-1618

Other practice location 1

16826 Newburgh Rd
Livonia, MI 48154-1600
Phone (734) 464-8400

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jhamad1@hfhs.org Health Information Exchange (HIE) Henry Ford Health System

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
I20210927001676 MI Order and Referring Only - PathologyPractitioner - DermatologyPractitioner - Pathology 5991102493

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of North Carolina at Chapel Hill School of Medicine, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

151 Southhall LN
Suite 300
Maitland, FL 32751-7100

215 La Plaza CT
Royal Oak, MI 48073-4087

9465 Tanhurst Dr
Indianapolis, IN 46250-4152

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System PastSince Jul 1, 2022 Accepting new patients
Henry Ford Health System PastSince Jul 1, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jhamad725715@direct.hfhs.org
  • Direct secure messaging: judy.hamad.1@18430.direct.athenahealth.com

Organizations & group practices 2

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": "1584316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1821624321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W 11TH ST RM 4010",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462024108",
            "telephone_number": "317-274-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W 11TH ST RM 4010",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462024108",
            "telephone_number": "317-274-1618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16826 Newburgh Rd",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481541600",
            "country_code": "US",
            "telephone_number": "734-464-8400",
            "fax_number": "734-464-9515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMAD",
        "first_name": "JUDY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-16",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301517686",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "MI",
            "license": "4301517686",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jhamad1@hfhs.org",
            "affiliation": "Y",
            "endpointDescription": "health system email",
            "affiliationName": "Henry Ford Health System",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2799 W Grand Blvd",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482022608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.