Organization Active NPI

Haddad Internal Medicine

  • Internal Medicine Physician
  • Naples, FL
National Provider Identifier
1972389559
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HADDAD INTERNAL MEDICINE
Practice address
3201 Tamiami TRL N Ste 139
Naples, FL 34103-4135
Phone
(239) 446-7038
NPI assigned
Sep 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Authorized official

Name
Natalia Haddad
Title
Owner
Phone
(239) 446-7036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3201 Tamiami TRL N Ste 139
Naples, FL 34103-4135

Mailing address

16970 San Carlos Blvd Ste 160 Box 183
Fort Myers, FL 33908-7818
Phone (239) 446-7036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231113002669 FL Part B Supplier - Clinic/Group Practice 0941657910 Receives reassigned benefits from 1 practitioner
Practice locations: Naples, FL

National Provider Directory

National Provider Directory

Locations

5495 Bryson Dr
Naples, FL 34109

5495 Bryson Dr
Ste 423
Naples, FL 34109
Phone (239) 430-5522

3201 Tamiami Trl N
Ste 139
Naples, FL 34103
Phone (239) 446-7038

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFAJCA

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1972389559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16970 SAN CARLOS BLVD STE 160 BOX 183",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339087818",
            "telephone_number": "239-446-7036",
            "fax_number": "949-695-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 TAMIAMI TRL N STE 139",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341034135",
            "telephone_number": "239-446-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HADDAD INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-07",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "HADDAD",
        "authorized_official_first_name": "NATALIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-446-7036"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.