Isam Andrawgs Haddadin, MD FACS

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

01029890A Issued in IN

Practice address

3641 Ridge Rd
Highland, IN 46322

Phone

(219) 923-2100

Fax

(219) 923-9342

NPI assigned

Jul 25, 2006

Sex

Male

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Highland Medical Center, PC

  • Internal Medicine Physician
  • Highland, IN
  • NPI 1184688640
  NPD (past)
• Woman'S Complete Health Care Center, P.C.

  • Obstetrics & Gynecology Physician
  • Highland, IN
  • NPI 1881658789
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270512000000",
    "number": "1851313803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3641 RIDGE RD",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "46322",
            "telephone_number": "219-923-2100",
            "fax_number": "219-923-9342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3641 RIDGE RD",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "46322",
            "telephone_number": "219-923-2100",
            "fax_number": "219-923-9342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDADIN",
        "first_name": "ISAM",
        "middle_name": "ANDRAWGS",
        "name_prefix": "Dr.",
        "credential": "MD FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2010-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01029890A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "87493",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "91108082",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100168870A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kartike Gulati, D.O
• Chakara Gunn, MSW
• Angela Gusakoska, SLPA
• Nicole Guyton, D.D.S.
• Fadia J Haddadin, MD
• Kurt Matthew Halum, D.M.D
• James Walter Hamblin, DDS
• Shannon Hamilton
• Heath Hansen
• Amber Hanson - Dansby

• Surgery Physician in Highland, IN
• Providers in Highland, IN by specialty
• Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.