Active NPI
Marun S Haddad, M.D.
- Cardiovascular Disease Physician
- Mesquite, TX
National Provider Identifier
1972573376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- E6800
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040225001113 | TX | Practitioner - Cardiovascular Disease (Cardiology) | 1951297993 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dallas Medical Physician Group | Current | Accepting new patients | |
| Dallas Medical Physician Group | Cardiovascular Disease | Current | 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.
-
- Cardiovascular Disease Physician
- Dallas, TX
- NPI 1033551312
Cardiovascular Disease, TX
-
- Internal Medicine Physician
- Plano, TX
- NPI 1861802902
-
- Vascular Surgery Physician
- Rockwall, TX
- NPI 1780851915
-
- General Acute Care Hospital
- Mesquite, TX
- NPI 1558303636
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.