DR. HADI H HATOUM – Critical Care Medicine (Internal Medicine) Physician, NPI 1891953378

DR. HADI H HATOUM is a healthcare provider. based in Conyers, Georgia. specializing in INTERNAL MEDICINE, CRITICAL CARE (INTENSIVISTS), PULMONARY DISEASE. They hold a License No. BP10038027 (TX). The NPI Number for DR. HADI H HATOUM is 1891953378

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. HADI H HATOUM
NPI
1891953378
Phone
Not provided
Address
1412 MILSTEAD AVE NE
Enumeration Date
30 May 2008
Last Update Date
13 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6783428674
Graduation Year
2005 (21 years ago)
PAC ID
0143462275
Group Practice PAC ID
9830082825
Professional Enrollment ID
I20210816002228
Address ID
GA300142566CO5126XNEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience92
Completeness75
Years active:18State licenses:4Digital endpointsOther names

5,409 INTERNAL MEDICINE in GA

Provider Addresses for DR. HADI H HATOUM

  • 1412 MILSTEAD AVE NE

    CONYERS, GA 300123877

    Phone:

    Type: Mailing

  • 655 W 8th St

    Jacksonville, FL 322096511

    Phone: (904) 383-1014

    Fax: (904) 244-5000

    Type: Location

  • PO BOX 44008

    JACKSONVILLE, FL 322314008

    Phone: (904) 383-1014

    Fax: (904) 244-5000

    Type: Mailing

  • UF Health Jacksonville, 655, West 8th Street, Jacksonville, Duval County, Florida, 32209, United States

    JACKSONVILLE, FL 322096511

    Phone: (904) 383-1014

    Fax: (904) 244-5000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 78 Open Payments records for all available years, with a total value of $4,508.

Total Amount is formed as General ($4,508) + Research ($0) + Ownership ($0) = $4,508.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($2,944).

Total Amount

$4,508

General + Research + Ownership

Payments

78

Total payment records

General Amount

$4,508

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-08-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160811000586ICritical Care (Intensivists)FLTBD
I20210816002228IInternal MedicineGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes19884$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes169108$0
99214Established patient office or other outpatient visit, 30-39 minutes8162$0
99215Established patient office or other outpatient visit, 40-54 minutes5742$0
71046X-ray of chest, 2 views5022$0
View full utilization report →

Insurance plans in this area (ZIP 30012)

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Provider's Procedures

DR. HADI H HATOUM performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CRITICAL CARE (INTENSIVISTS)FL94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration4140

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830082825View full group profile
NameSpecialtyState
General SurgeryGA
Nurse PractitionerGA
Critical Care (Intensivists), Pulmonary Disease, Sleep MedicineGA
-GA
Nurse PractitionerGA
-GA
General SurgeryGA
Surgical OncologyWA
R H E U M A T O L O G YGA
Pulmonary Disease, Critical Care (Intensivists), Internal Medicine, Pediatric MedicineGA

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Frequently asked questions

How do I look up DR. HADI H HATOUM by NPI?
Use NPI 1891953378 when you need to reference DR. HADI H HATOUM in forms, claims, or directories.
Is DR. HADI H HATOUM active in the national directory?
DR. HADI H HATOUM's public NPI profile is in an active state.
Can you summarize DR. HADI H HATOUM's specialty in plain language?
Clinically, the directory lists DR. HADI H HATOUM with Critical Care Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where is DR. HADI H HATOUM's primary listing?
We display Conyers, Georgia because that is what the record indicates for DR. HADI H HATOUM.
What if Conyers, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.