HAIDAR KABBANI (M.D.) – Neurology with Special Qualifications in Child Neurology Physician, NPI 1144203753
Neurology with Special Qualifications in Child Neurology Physician
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NPPES metrics only — not quality of care.
528 NEUROLOGY in IN
Provider Addresses for HAIDAR KABBANI (M.D.)
11123 Parkview Plaza Dr Ste 201
Fort Wayne, IN 468451707
Phone: (260) 266-5400
Fax: (260) 425-5165
Type: Location
1 Childrens Plz
Neurology
Dayton, OH 454041873
Phone: (937) 641-3699
Fax: (937) 641-5412
Type: Location
2130 W CENTRAL AVENUE
#101, #102, #103
TOLEDO, OH 43606
Phone: (419) 291-3900
Fax: (419) 479-6055
Type: Location
2160, South 1st Avenue, Maywood, Proviso Township, Cook County, Illinois, 60153, United States
MAYWOOD, IL 601533328
Phone: (708) 216-9000
Type: Mailing
2130 W CENTRAL AVE STE 101
TOLEDO, OH 436063819
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
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Open Payments (CMS)
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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: 2025-09-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161108001423 | I | Neurology | WI | TBD |
| I20161114000367 | I | Neurology | IL | TBD |
| I20230718000676 | I | Neurology With Special Qualification In Child Neurology | ND | TBD |
| I20240716004580 | I | Neurology | AZ | TBD |
| I20250915002125 | I | Neurology | IN | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46845)
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