Organization Active NPI

Nassim Haddad MD PLLC

  • Cardiovascular Disease Physician
  • Scottsdale, AZ
National Provider Identifier
1871853978
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
NASSIM HADDAD MD PLLC
Practice address
10101 N 92ND St Ste 101
Scottsdale, AZ 85258-4553
Phone
(480) 747-6532
Fax
(480) 889-6865
NPI assigned
May 22, 2012
Last updated
Oct 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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

Authorized official

Name
Nassim Haddad, MDNPI 1316060619
Title
Member
Phone
(480) 747-6532

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiac Rehabilitation Registered Nurse 163WC3500X
Cardiovascular Disease Physician 207RC0000X Primary

Addresses

Primary practice location

10101 N 92ND St Ste 101
Scottsdale, AZ 85258-4553

Mailing address

10101 N 92ND St Ste 101
Scottsdale, AZ 85258-4553
Phone (480) 747-6532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120921000402 AZ Part B Supplier - Clinic/Group Practice 6204084973 Receives reassigned benefits from 14 practitioners
Practice locations: Scottsdale, AZ; Wickenburg, AZ; Phoenix, AZ; Fountain Hills, AZ
O20230329002597 AZ Part B Supplier - Intensive Cardiac Rehabilitation 6204084973 Receives reassigned benefits from 6 practitioners
Practice locations: Scottsdale, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2028230Nassim Haddad MD PLLC10101 N 92ND Street Suite 101, Scottsdale, AZ 85258Certificate of waiverAug 10, 2027

National Provider Directory

National Provider Directory

Locations

13253 N La Montana Dr
Ste 101
Fountain Hills, AZ 85268

10101 N 92nd St
Scottsdale, AZ 85258

520 Rose Ln
Wickenburg, AZ 85390
Phone (928) 666-1197

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792108800000",
    "number": "1871853978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 N 92ND ST STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584553",
            "telephone_number": "480-747-6532",
            "fax_number": "480-889-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 N 92ND ST STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584553",
            "telephone_number": "480-747-6532",
            "fax_number": "480-889-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASSIM HADDAD MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A",
        "authorized_official_last_name": "HADDAD",
        "authorized_official_first_name": "NASSIM",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "480-747-6532",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "163WC3500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Cardiac Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.