Active NPI
Hany W Haddad, MD
- Pulmonary Disease Physician
- Carmel, IN
National Provider Identifier
1871597393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 01029331A
- Practice address
- 12995 Brighton Ave
Carmel, IN 46032-8642 - Phone
- (317) 621-2212
- NPI assigned
- Jun 13, 2005
- Last updated
- Aug 24, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 01029331A | IN | Primary |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 01029331A | IN |
Addresses
Primary practice location
12995 Brighton Ave
Carmel, IN 46032-8642
Mailing address
12995 Brighton Ave
Carmel, IN 46032-8642
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100318480A | Medicaid | IN | |
| P01350930 | Other | IN | MEDICARE RR PTAN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hhaddad6716@eCommunityDirect.com | Community Physicians of Indiana Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01029331A | IN | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Hospitals of Indiana Inc | Past | Accepting new patients |
Interoperability endpoints
- hhaddad6716@ecommunitydirect.com
Organizations & group practices 1
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.
-
dba Community Sleep Specialist
- Sleep Medicine (Psychiatry & Neurology) Physician
- Indianapolis, IN
- NPI 1609000751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629763200000",
"number": "1871597393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12995 BRIGHTON AVE",
"city": "CARMEL",
"state": "IN",
"postal_code": "460328642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12995 BRIGHTON AVE",
"city": "CARMEL",
"state": "IN",
"postal_code": "460328642",
"telephone_number": "317-621-2212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADDAD",
"first_name": "HANY",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2021-08-24",
"certification_date": "2021-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IN",
"license": "01029331A",
"primary": true
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "IN",
"license": "01029331A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100318480A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR PTAN",
"identifier": "P01350930",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hhaddad6716@eCommunityDirect.com",
"affiliation": "Y",
"affiliationName": "Community Physicians of Indiana Inc",
"address_1": "12995 Brighton Ave",
"city": "Carmel",
"state": "IN",
"country_code": "US",
"postal_code": "460328642",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.