Individual provider Active NPI

Marun S Haddad, M.D.

  • Cardiovascular Disease Physician
  • Mesquite, TX
National Provider Identifier
1972573376
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
E6800 Issued in TX
Practice address
5308 North Galloway Avenue
Suite 100
Mesquite, TX 75150
Phone
(972) 226-0505
Fax
(972) 289-9640
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X E6800 TX Primary

Addresses

Primary practice location

5308 North Galloway Avenue
Suite 100
Mesquite, TX 75150

Mailing address

5308 N Galloway Ave
Suite 100
Mesquite, TX 75150-1122
Phone (972) 226-0505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040225001113 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1951297993 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Medical Physician Group CurrentSince May 1, 2015 Accepting new patients
Dallas Medical Physician Group Cardiovascular Disease CurrentSince May 1, 2015 Accepting new patients
Hma Mesquite Hospital Inc Past Accepting new patients
Cardiovascular Specialty Associates of North Texas, P.a. Past Accepting new patients

Locations

5308 N Galloway Ave
Mesquite, TX 75150
Phone (972) 226-0505

5308 N Galloway Ave
Ste 100
Mesquite, TX 75150
Phone (972) 226-0505

1011 N Galloway Ave
Mesquite, TX 75149
Phone (214) 320-7000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1972573376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5308 N GALLOWAY AVE",
            "address_2": "SUITE 100",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751501122",
            "telephone_number": "972-226-0505",
            "fax_number": "972-289-9640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5308 NORTH GALLOWAY AVENUE",
            "address_2": "SUITE 100",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "75150",
            "telephone_number": "972-226-0505",
            "fax_number": "972-289-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "MARUN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "E6800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.