Active NPI
Klaus Friedrich Haas, MD
- Surgery Physician
- East Greenwich, RI
National Provider Identifier
1871644997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD04399
- Practice address
- 105 Granite Dr
East Greenwich, RI 02818-5033 - Phone
- (401) 398-1740
- Fax
- (401) 398-1740
- NPI assigned
- Jan 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD04399 | RI | Primary |
Addresses
Primary practice location
105 Granite Dr
East Greenwich, RI 02818-5033
Mailing address
105 Granite Dr
East Greenwich, RI 02818
Phone (401) 398-1740
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17-00249 | Other | RI | UNITED HEALTH SERVICES |
| 26931-1 | Other | RI | BLUE SHIELD |
| KH51161 | Medicaid | RI |
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 |
|---|---|---|---|
| MD04399 | RI | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397606400000",
"number": "1871644997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 GRANITE DR",
"city": "EAST GREENWICH",
"state": "RI",
"postal_code": "02818",
"telephone_number": "401-398-1740",
"fax_number": "401-398-1740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 GRANITE DR",
"city": "EAST GREENWICH",
"state": "RI",
"postal_code": "028185033",
"telephone_number": "401-398-1740",
"fax_number": "401-398-1740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAAS",
"first_name": "KLAUS",
"middle_name": "FRIEDRICH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-15",
"last_updated": "2014-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "RI",
"license": "MD04399",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH SERVICES",
"identifier": "17-00249",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "26931-1",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "KH51161",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Greenwich, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.