Hassan Haddad, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

25890 Issued in OK

Practice address

8921 S Mingo Rd
Tulsa, OK 74133-5841

Phone

(918) 577-3000

NPI assigned

May 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6481/brand/1/csg/1/fhir/r4

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.

• Thi Specialists LLC

  • Infectious Disease Physician
  • Tulsa, OK
  • NPI 1952763922

  Nephrology

  Medicare reassignment NPD
• Muskogee Vamc

  • Department of Veterans Affairs (VA) Pharmacy
  • Tulsa, OK
  • NPI 1326201138
  NPD
• Advanced Nephrology Associates, P.C.

  • Nephrology Physician
  • Wexford, PA
  • NPI 1396747507
  NPD (past)
• Cogent Healthcare of Tennessee, PC

  • Internal Medicine Physician
  • Dyersburg, TN
  • NPI 1952654246
  NPD (past)
• Diagnostic Ultrasound Consultants

  • Diagnostic Radiology Physician
  • Germantown, TN
  • NPI 1639369531
  NPD (past)
• Mid-South Nephrology Consultants PLLC

  • Nephrology Physician
  • Memphis, TN
  • NPI 1346219342
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1992753263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8921 S MINGO RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335841",
            "telephone_number": "918-577-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8921 S MINGO RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335841",
            "telephone_number": "918-577-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "HASSAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OK",
            "license": "25890",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OK",
            "license": "25890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200118650A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110242767",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mindy Hackler
• Ronald L Hackler, RPH
• Sophia Delise Hackney, PA-C
• Rebecca Sue Hackworth, LCSW
• Janelle Elizabeth Hacunda
• Andrea Haddox
• Sharon Haddox, PT
• Jeremiah Hadwen, MD
• Ehab Hassan Mohamed Abdel Hady, MD
• Meredith Anne Haefeker, LCSW

• Nephrology Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Nephrology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.

Verify at the official NPI Registry.