Individual provider Active NPI

Lotfi Hadad, M.D.

  • Medical Oncology Physician
  • Evansville, IN
National Provider Identifier
1952362477
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
01059087 Issued in IN
Practice address
6140 E Columbia St
Evansville, IN 47715-9133
Phone
(812) 475-1948
Fax
(812) 401-5777
NPI assigned
Apr 1, 2006
Last updated
Sep 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 01059087 IN Primary

Addresses

Primary practice location

6140 E Columbia St
Evansville, IN 47715-9133

Mailing address

6140 E Columbia St
Evansville, IN 47715-9133
Phone (812) 475-1948

Other identifiers 2

IdentifierTypeStateIssuer
200478590MedicaidIN
64080435MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20040623001672 IN Practitioner - Medical OncologyPractitioner - Hematology/Oncology 6103723705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology/Oncology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evansville Multi Specialty Clinic PCGroup PAC ID 3779597976, 3 clinicians

Practice addresses (Care Compare)

6140 E Columbia St
Evansville, IN 47715-9133
Phone (812) 475-1948

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01059087INMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Evansville Cancer Care, PC Medical Oncology Past Accepting new patients
Therapy Associates Inc Medical Oncology Past Accepting new patients
Midwest Neoped Associates LTD PastSince Jun 28, 2009 Accepting new patients
Evansville Cancer Care PC Medical Oncology Past Accepting new patients
Middletown Cancer Center Past Accepting new patients

Organizations & group practices 7

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 3

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": "1143849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1952362477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 E COLUMBIA ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477159133",
            "telephone_number": "812-475-1948",
            "fax_number": "812-401-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 E COLUMBIA ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477159133",
            "telephone_number": "812-475-1948",
            "fax_number": "812-401-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADAD",
        "first_name": "LOTFI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-01",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "IN",
            "license": "01059087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200478590",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64080435",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.