Marisa Louise Haddad, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

0473 Issued in AZ

Practice address

3201 W Peoria Ave
Ste B307
Phoenix, AZ 85029-4608

Phone

(602) 938-8400

Fax

(602) 938-8401

NPI assigned

Sep 13, 2005

Reactivated

Apr 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Marisa Haddad Sekosky Other name

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Foot Care IncGroup PAC ID 3476445016, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.26 of 100Reported as group

Quality

90

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: haddad.marisa.001.0030045@vfc.meditab.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Valley Foot Care, Inc.

  • Podiatrist
  • Phoenix, AZ
  • NPI 1518164185
  Medicare reassignment Care Compare group NPD
• Arizona Medical Group of Mesa, PC

  • Health Service Clinic/Center
  • Scottsdale, AZ
  • NPI 1588857486
  NPD (past)
• Ronald M Smith MD Inc

  • Clinic/Center
  • Scottsdale, AZ
  • NPI 1356363295
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1831184134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8837",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853740130",
            "telephone_number": "602-938-8400",
            "fax_number": "602-938-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 W PEORIA AVE",
            "address_2": "STE B307",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294608",
            "telephone_number": "602-938-8400",
            "fax_number": "602-938-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "MARISA",
        "middle_name": "LOUISE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2013-08-07",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "0473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "398322",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISA",
            "last_name": "SEKOSKY",
            "middle_name": "HADDAD",
            "credential": "DPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Homyra Hadavand, M.D.
• Ashley Haddad
• Christine Samir Haddad, M.D., PHD
• Imad Haddad, M.D.
• Kim Nicole Haddad, LMSW
• Oriana Haddad, DMD
• Reem Haddad, M.D.
• Tania Haddad, MD DMD
• Firas Haddadin, AUD
• Barbara Lynn Hadden, LCSW

• Podiatrist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.