Mohsen A Elhaddad, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

77609 Issued in MA

Practice address

49 State Rd
Pequot BLDG #201
North Dartmouth, MA 02747-3322

Phone

(508) 961-1644

Fax

(508) 984-5893

NPI assigned

Apr 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mohsenelhaddad@dpmed.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dartmouth Pediatrics

  • Pediatrics Physician
  • North Dartmouth, MA
  • NPI 1477752335
  NPD (past) Authorized official

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1891759833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 STATE RD PEQUOT BLDG #201",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "02747",
            "telephone_number": "508-961-1644",
            "fax_number": "508-984-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 STATE RD",
            "address_2": "PEQUOT BLDG #201",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027473322",
            "telephone_number": "508-961-1644",
            "fax_number": "508-984-5893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELHADDAD",
        "first_name": "MOHSEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "77609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3121313",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Duhon, PA
• Dva Healthcare of Massachusetts Inc
• Skyler Sullivan Earle, LICSW
• Kayleigh E Eckstrom, CNM
• Michael Egan, M.D.
• Debra L Espinosa, CRNA
• Diana Estrada
• Eye Health Vision Centers,LLC
• Jason Barry Falk, DPM
• Ping Ke Fang, DDS

• Pediatrics Physician in North Dartmouth, MA
• Providers in North Dartmouth, MA by specialty
• Pediatrics Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.

Verify at the official NPI Registry.