NPIMap

Individual provider Active NPI

Mohammad Ali Haider, D.O.

  • Ophthalmology Physician
  • Louisville, KY
National Provider Identifier
1871622258
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
TP117 Issued in KY
Practice address
2932 Breckenridge LN
Suite 5
Louisville, KY 40220-1400
Phone
(502) 883-1015
Fax
(502) 883-1019
NPI assigned
Mar 3, 2007
Last updated
Oct 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Ophthalmology Physician 207W00000X TP117 KY Primary
Ophthalmology Physician 207W00000X 02003914A IN

Addresses

Primary practice location

2932 Breckenridge LN
Suite 5
Louisville, KY 40220-1400

Mailing address

2932 Breckenridge LN Ste 5
Louisville, KY 40220-1490
Phone (502) 883-1015

Other practice location 1

1120 W Oak St Ste 100
Zionsville, IN 46077-1475
Phone (317) 873-3000

Other practice location 2

14560 River Rd Ste 120
Carmel, IN 46033-5802
Phone (317) 843-2020

Other practice location 3

2887 S State Road 135
Greenwood, IN 46143-9604
Phone (317) 865-6829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101013000120 KY Practitioner - Ophthalmology 4587708920 Reassigns benefits to 2 organizations
I20180116002499 IN Practitioner - Ophthalmology 4587708920 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2932 Breckenridge LN
Suite 5
Louisville, KY 40220-1400

2932 Breckenridge LN
Suite 5
Louisville, KY 40220-1490
Phone (502) 883-1015

4004 Dupont Cir
Louisville, KY 40207-4819
Phone (502) 896-6428

601 Broadway St
Madison, IN 47250-3362
Phone (502) 883-1015

601 Broadway St
Suite 10
Madison, IN 47250-3364
Phone (502) 371-9700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.07 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
76.9

Merit-based Incentive Payment System (MIPS)

Final score
30 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery208

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP117KYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Eye Center LLC Ophthalmology CurrentSince Jan 1, 2018 Accepting new patients
Community Health Group LLC CurrentSince May 1, 2024 Accepting new patients
Senior Health Services LLC Ophthalmology CurrentSince Jul 27, 2012 Accepting new patients
Senior Health Services LLC Ophthalmology Past Accepting new patients

Locations

601 Broadway St
Madison, IN 47250
Phone (502) 883-1015

601 Broadway St
Ste 1
Madison, IN 47250
Phone (502) 897-9881

601 Broadway St
Ste 10
Madison, IN 47250
Phone (502) 371-9700

2410 Ring Rd
Ste 400
Elizabethtown, KY 42701
Phone (270) 982-3937

2932 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-5437

2932 Breckenridge Ln
Ste 5
Louisville, KY 40220
Phone (502) 371-9703

4004 DuPont Cir
Louisville, KY 40207
Phone (502) 896-6428

Interoperability endpoints

  • Direct secure messaging: haidershs@seniorhealthservices.direct.eyemdemr.com

Organizations & group practices 5

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 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1871622258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2932 BRECKENRIDGE LN STE 5",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201490",
            "telephone_number": "502-883-1015",
            "fax_number": "502-883-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2932 BRECKENRIDGE LN",
            "address_2": "SUITE 5",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201400",
            "telephone_number": "502-883-1015",
            "fax_number": "502-883-1019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 W Oak St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Zionsville",
            "state": "IN",
            "postal_code": "460771475",
            "country_code": "US",
            "telephone_number": "317-873-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14560 River Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460335802",
            "country_code": "US",
            "telephone_number": "317-843-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2887 S State Road 135",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461439604",
            "country_code": "US",
            "telephone_number": "317-865-6829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAIDER",
        "first_name": "MOHAMMAD",
        "middle_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-03",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "TP117",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "02003914A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.