Individual provider Active NPI

Bassam Haddad, MD

  • Rheumatology Physician
  • Westlake, OH
National Provider Identifier
1871741967
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
35096045 Issued in OH
Practice address
25200 Center Ridge Rd Ste 2100
Westlake, OH 44145-4146
Phone
(440) 331-5962
Fax
(440) 673-1926
NPI assigned
Sep 3, 2008
Last updated
Jul 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 35096045 OH Primary

Addresses

Primary practice location

25200 Center Ridge Rd Ste 2100
Westlake, OH 44145-4146

Mailing address

25200 Center Ridge Rd Ste 2100
Westlake, OH 44145-4146
Phone (440) 331-5962

Other practice location 1

18660 Bagley Rd Ste 102B
Cleveland, OH 44130-3483
Phone (440) 891-9398

Other names 1

  • Bassam Alhaddad Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20110715000519 OH Practitioner - RheumatologyPractitioner - Internal Medicine 4688842719 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Coast Professional Company, LLCGroup PAC ID 6305810201, 105 clinicians
Premier Physicians Centers IncGroup PAC ID 0345153326, 50 clinicians

Practice addresses (Care Compare)

1221 Hayes Ave
Suite B
Sandusky, OH 44870-3345
Phone (419) 557-6550

18660 Bagley Rd
Suite 102B
Cleveland, OH 44130-3483
Phone (440) 891-9395

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35096045OHMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Coast Professional Company, LLC CurrentSince Aug 18, 2025 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Premier Physicians Centers Inc CurrentSince Jun 1, 2015 Accepting new patients
Premier Physicians Centers, Inc. CurrentSince Jun 1, 2015 Accepting new patients
North Coast Professional Company, LLC CurrentSince Aug 18, 2025 Accepting new patients

Locations

10654 Lorain Ave
Cleveland, OH 44111
Phone (216) 941-1044

18101 Lorain Ave
Cleveland, OH 44111
Phone (216) 476-7029

18660 Bagley Rd
Ste 102B
Middleburg Heights, OH 44130
Phone (440) 891-9395

1221 Hayes Ave
Ste B
Sandusky, OH 44870
Phone (419) 557-6550

703 Tyler St
Ste 352
Sandusky, OH 44870
Phone (419) 557-6785

24500 Center Ridge Rd
Ste 375
Westlake, OH 44145
Phone (440) 467-1954

25200 Center Ridge Rd
Ste 2100
Westlake, OH 44145
Phone (440) 331-4053

25200 Center Ridge Rd
Ste 2300
Westlake, OH 44145
Phone (440) 331-5053

Interoperability endpoints

  • Direct secure messaging: balhaddadmd78931@direct.ccf.org
  • Direct secure messaging: bassam.alhaddad@ppc2.eclinicaldirectplus.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 9

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": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1871741967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25200 CENTER RIDGE RD STE 2100",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441454146",
            "telephone_number": "440-331-5962",
            "fax_number": "440-673-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25200 CENTER RIDGE RD STE 2100",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441454146",
            "telephone_number": "440-331-5962",
            "fax_number": "440-673-1926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18660 Bagley Rd Ste 102B",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441303483",
            "country_code": "US",
            "telephone_number": "440-891-9398",
            "fax_number": "440-673-1926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "BASSAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-03",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "OH",
            "license": "35096045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BASSAM",
            "last_name": "ALHADDAD",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.