Individual provider Active NPI

Hakam H Safadi, M.D.

  • Pulmonary Disease Physician
  • Merrillville, IN
National Provider Identifier
1851394134
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
01029166A Issued in IN
Practice address
8909 Broadway
Merrillville, IN 46410-7039
Phone
(219) 769-0054
Fax
(219) 769-1793
NPI assigned
May 31, 2005
Last updated
Oct 27, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 01029166A IN Primary

Addresses

Primary practice location

8909 Broadway
Merrillville, IN 46410-7039

Mailing address

8909 Broadway
Merrillville, IN 46410-7039
Phone (219) 769-0054

Other identifiers 4

IdentifierTypeStateIssuer
000000086614OtherILANTHEM/BCBS
020024000OtherBLACK LUNG GROUP#
100212570MedicaidIN
0591755OtherAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20100326000886 IN Practitioner - Pulmonary Disease 3870579717 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Network IncGroup PAC ID 3678737012, 378 clinicians

Practice addresses (Care Compare)

8909 Broadway
Merrillville, IN 46410-7039
Phone (219) 769-0054

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Network Inc CurrentSince Jun 20, 2022 Accepting new patients
Chest Diseases Associates PC Pulmonary Disease CurrentSince Jan 1, 1985 Accepting new patients

Locations

8135 E 109th Ave
Crown Point, IN 46307
Phone (219) 756-3482

8909 Broadway
Merrillville, IN 46410
Phone (219) 756-6400

9235 Broadway
Merrillville, IN 46410
Phone (219) 738-2255

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

Interoperability endpoints

  • Direct secure messaging: hsafadi188@themethodisthospitals.direct-ci.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.

Hospital & facility affiliations 6

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": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414368000000",
    "number": "1851394134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8909 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107039",
            "telephone_number": "219-769-0054",
            "fax_number": "219-769-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8909 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107039",
            "telephone_number": "219-769-0054",
            "fax_number": "219-769-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFADI",
        "first_name": "HAKAM",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2014-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IN",
            "license": "01029166A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/BCBS",
            "identifier": "000000086614",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG GROUP#",
            "identifier": "020024000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100212570",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0591755",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.