NPIMap

Individual provider Active NPI

Jon Luigi Haddad, M.D.

  • Cardiovascular Disease Physician
  • Amarillo, TX
National Provider Identifier
1891762787
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
J8260 Issued in TX
Practice address
1901 Port LN
Amarillo, TX 79106-2430
Phone
(806) 358-4596
Fax
(806) 358-6726
NPI assigned
Mar 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 55430 MN
Cardiovascular Disease Physician 207RC0000X J8260 TX Primary

Addresses

Primary practice location

1901 Port LN
Amarillo, TX 79106-2430

Mailing address

1901 Port LN
Amarillo, TX 79106-2430
Phone (806) 358-4596

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jhaddad@amarilloheartgroup.careclouddirect.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041203000157 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 9335105378 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bsa Hospital LLCGroup PAC ID 6305090762, 20 clinicians
NWTX Physician Network PLLCGroup PAC ID 4688899149, 30 clinicians

Practice addresses (Care Compare)

1000 Craig Dr
Amarillo, TX 79106-4015
Phone (806) 351-7045

1501 S Coulter St
Amarillo, TX 79106-1770

1600 Wallace Blvd
Amarillo, TX 79106-1799
Phone (806) 212-6036

2001 S Coulter St
Suite 2001
Amarillo, TX 79106-2521
Phone (806) 318-5777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
87.98
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting28
Pacemaker insertion or repair1-10
Varicose vein removal229
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J8260TXMDCardiovascular Disease Physician
55430MNMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NWTX Physician Network, PLLC CurrentSince Feb 27, 2023 Accepting new patients
Amarillo Heart Group, LLP Cardiovascular Disease CurrentSince Oct 1, 2004 Accepting new patients
Bsa Hospital LLC CurrentSince Jan 1, 2013 Accepting new patients
Bsa Hospital, LLC CurrentSince Jan 1, 2013 Accepting new patients
NWTX Physician Network, PLLC Orthopaedic Surgery CurrentSince Feb 27, 2023 Accepting new patients
Northwest Texas Healthcare System Inc CurrentSince Oct 1, 2004 Accepting new patients
Baptist St. Anthony's Hospital Corporation Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

1901 Port Ln
Amarillo, TX 79106
Phone (806) 358-4596

2001 S Coulter St
Ste 2001
Amarillo, TX 79106
Phone (806) 318-5777

1501 S Coulter St
Amarillo, TX 79106
Phone (800) 354-1150

1000 Craig Dr
Amarillo, TX 79106
Phone (806) 212-6649

1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000

Interoperability endpoints

  • Direct secure messaging: jhaddad84282@ahs.direct-ci.com
  • Direct secure messaging: jhaddad@amarilloheartgroup.careclouddirect.com

Organizations & group practices 8

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 8

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": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1891762787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 PORT LN",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062430",
            "telephone_number": "806-358-4596",
            "fax_number": "806-358-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 PORT LN",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062430",
            "telephone_number": "806-358-4596",
            "fax_number": "806-358-6726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "JON",
        "middle_name": "LUIGI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MN",
            "license": "55430",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "J8260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jhaddad@amarilloheartgroup.careclouddirect.com",
            "affiliation": "N",
            "address_1": "1901 Port Ln",
            "city": "Amarillo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "791062430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.