Haitham O Qader, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

ME108010 Issued in FL

Practice address

1619 Creighton Rd
Suite 1
Pensacola, FL 32504-7152

Phone

(850) 444-4700

Fax

(850) 434-8144

NPI assigned

Feb 20, 2006

Last updated

Dec 28, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL, AL2 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 2

Specialty

NephrologyAlso: Internal Medicine

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pensacola Nephrology PAGroup PAC ID 7214832856, shared by 2 NPIs, 37 clinicians

Fresenius Vascular Care Pensacola LLCGroup PAC ID 0547549263, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• RCG - Sacred Heart - Adult Dialysis Dialysis facility, Pensacola, FL, CCN 102745
• Fresenius Kidney Care Central Pensacola Dialysis facility, Pensacola, FL, CCN 682639
• FMC - West Pensacola Dialysis facility, Pensacola, FL, CCN 102812
• FMC - Pensacola Dialysis facility, Pensacola, FL, CCN 102501
• Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025
• Baptist Hospital Hospital, Pensacola, FL, CCN 100093
• Santa Rosa Medical Center Hospital, Milton, FL, CCN 100124
• HCA Florida West Hospital Hospital, Pensacola, FL, CCN 100231
• Gulf Breeze Hospital Hospital, Gulf Breeze, FL, CCN 100266
• Encompass Health Rehabilitation Hospital of Pensac Inpatient rehabilitation facility, Pensacola, FL, CCN 103048

Merit-based Incentive Payment System (MIPS)

Final score

50.61 of 100Reported as group

Quality

47.32

Promoting interoperability

0

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: haitham.qader.p89@direct.aac.nextgenshare.com
• Direct secure messaging: haitham.qader.p90@direct.aac.nextgenshare.com

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.

• Fresenius Vascular Care Pensacola LLC

  dba Azura Vascular Care Renalus Pensacola

  • Vascular & Interventional Radiology Physician
  • Pensacola, FL
  • NPI 1285031963

  Nephrology

  Medicare reassignment Care Compare group NPD
• Pensacola Nephrology, PA

  dba Renalus Center for Kidney Care

  • Nephrology Physician
  • Pensacola, FL
  • NPI 1518969765
  Medicare reassignment NPD
• Pensacola Nephrology, PA

  dba Renalus Center for Kidney Care

  • Nephrology Physician
  • Pensacola, FL
  • NPI 1700829728

  AL

  Medicare reassignment NPD
• Pensacola Nephrology, PA

  dba Renalus Center for Kidney Care

  • Nephrology Physician
  • Niceville, FL
  • NPI 1477501153
  NPD (past)
• Renal Care Group of the Southeast, Inc.

  dba Fresenius Medical Care Cordova

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Pensacola, FL
  • NPI 1356453195
  NPD (past)
• Health Alliance Inc

  • Urgent Care Clinic/Center
  • Louisville, OH
  • NPI 1104846419
  NPD (past)
• Kansas Vascular Access Center LLC

  • Specialist
  • Wichita, KS
  • NPI 1306956867
  NPD (past)
• WK Urgent Care Center - Bossier

  • Family Medicine Physician
  • Bossier City, LA
  • NPI 1982640884
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bio-Medical Applications of Florida, Inc.

  dba Fresenius Kidney Care Central Pensacola

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Pensacola, FL
  • NPI 1326566084

  Dialysis facility

  Care Compare affiliation Name & address match
• RCG Pensacola, LLC

  dba Fresenius Kidney Care West Pensacola

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Pensacola, FL
  • NPI 1619089463

  Dialysis facility

  Care Compare affiliation Name & address match
• Renal Care Group of the Southeast, Inc.

  dba Fresenius Medical Care Cordova

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Pensacola, FL
  • NPI 1356453195

  Dialysis facility

  Care Compare affiliation Name & address match
• Renal Care Group of the Southeast, Inc.

  dba Fresenius Medical Care Pensacola

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Pensacola, FL
  • NPI 1992817738

  Dialysis facility

  Care Compare affiliation Name & address match
• Baptist Health Care, Inc

  • General Acute Care Hospital
  • Pensacola, FL
  • NPI 1700979465
  Care Compare affiliation
• Baptist Health Care, Inc.

  dba Gulf Breeze Hospital

  • General Acute Care Hospital
  • Gulf Breeze, FL
  • NPI 1972664530
  Care Compare affiliation
• Encompass Health Rehabilitation Hospital of Pensacola, LLC

  dba Encompass Health Rehabilitation Hospital of Pensacola

  • Rehabilitation Hospital
  • Pensacola, FL
  • NPI 1356926422

  Inpatient rehabilitation facility

  Care Compare affiliation
• Hma Santa Rosa Medical Center LLC

  dba Santa Rosa Medical Center

  • General Acute Care Hospital
  • Milton, FL
  • NPI 1528015302
  Care Compare affiliation
• Sacred Heart Health System, Inc.

  dba Ascension Sacred Heart Pensacola

  • General Acute Care Hospital
  • Pensacola, FL
  • NPI 1922032424
  Care Compare affiliation
• West Florida Regional Medical Center, Inc.

  dba HCA Florida West Hospital

  • General Acute Care Hospital
  • Pensacola, FL
  • NPI 1639116726
  Care Compare affiliation

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1841265253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11037",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325241037",
            "telephone_number": "850-444-7000",
            "fax_number": "850-444-7497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 CREIGHTON RD",
            "address_2": "SUITE 1",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325047152",
            "telephone_number": "850-444-4700",
            "fax_number": "850-434-8144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6001 Industrial Blvd",
            "address_purpose": "LOCATION",
            "city": "Century",
            "state": "FL",
            "postal_code": "325353312",
            "country_code": "US",
            "telephone_number": "850-444-4700",
            "fax_number": "850-434-8144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 E Redstone Ave",
            "address_purpose": "LOCATION",
            "city": "Crestview",
            "state": "FL",
            "postal_code": "325395373",
            "country_code": "US",
            "telephone_number": "850-398-6606",
            "fax_number": "850-398-6424",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "319 Green Acres Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325471170",
            "country_code": "US",
            "telephone_number": "850-862-2385",
            "fax_number": "850-862-0482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14114 Alabama St",
            "address_purpose": "LOCATION",
            "city": "Jay",
            "state": "FL",
            "postal_code": "325651219",
            "country_code": "US",
            "telephone_number": "850-444-4700",
            "fax_number": "850-434-8144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5934 Berryhill Medical Park Dr # 1",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "FL",
            "postal_code": "32570",
            "country_code": "US",
            "telephone_number": "850-623-4771",
            "fax_number": "850-623-3938",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4304 Lancaster Dr",
            "address_purpose": "LOCATION",
            "city": "Niceville",
            "state": "FL",
            "postal_code": "325784563",
            "country_code": "US",
            "telephone_number": "850-862-2385",
            "fax_number": "850-862-0482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5149 N 9th Ave Ste G35",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325048733",
            "country_code": "US",
            "telephone_number": "850-444-4700",
            "fax_number": "850-434-8144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1717 N E St Ste 403",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325016334",
            "country_code": "US",
            "telephone_number": "850-444-4700",
            "fax_number": "850-434-8144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2940 N Blue Angel Pkwy",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325062925",
            "country_code": "US",
            "telephone_number": "850-444-4700",
            "fax_number": "850-434-8144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2583 Gulf Breeze Pkwy",
            "address_purpose": "LOCATION",
            "city": "Gulf Breeze",
            "state": "FL",
            "postal_code": "325633043",
            "country_code": "US",
            "telephone_number": "850-444-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QADER",
        "first_name": "HAITHAM",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AL",
            "license": "MD.31562",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME108010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA MEDICAL LICENSE",
            "identifier": "MD.31562",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA STATE DOH - MEDICAL LICENSE",
            "identifier": "ME108010",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003141800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Purvis
• Brooke Michelle Putnam, RN, BSN
• Pyramid, Inc
• Patrice Ashleigh Pyritz, RBT
• Thomas Harry Pyritz, DDS
• Lawrence Quach, DO
• Quality Alarm Systems, Inc.
• Quality Home Therapy PLLC
• Quality Urgent Care & Wellness PL (Quality Urgent Care & Wellness)
• Jessica R Qualls, LCSW

• Nephrology Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.