IMAD HADDAD (MD) – Internal Medicine Physician, NPI 1508880063

IMAD HADDAD (MD) is a healthcare provider. based in Springfield, Kentucky. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 37821 (KY). The NPI Number for IMAD HADDAD (MD) is 1508880063

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
IMAD HADDAD (MD)
NPI
1508880063
Phone
(859) 481-7113
Address
805 BARDSTOWN RD STE 12
Enumeration Date
27 July 2006
Last Update Date
6 December 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8594817113
Graduation Year
1995 (31 years ago)
PAC ID
5496643181
Group Practice PAC ID
4688940240
Professional Enrollment ID
I20040305000033
Address ID
KY400691515SP805XXRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,216 INTERNAL MEDICINE in KY

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Provider Addresses for IMAD HADDAD (MD)

  • Bardstown Road, Springfield, Washington County, Kentucky, 40069, United States

    SPRINGFIELD, KY 400691515

    Phone: (859) 481-7113

    Fax: (859) 481-7114

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $211.

Total Amount is formed as General ($211) + Research ($0) + Ownership ($0) = $211.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($40).

Total Amount

$211

General + Research + Ownership

Payments

12

Total payment records

General Amount

$211

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2004-03-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20040305000033IInternal MedicineKYTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5855$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3936$0
99214Established patient office or other outpatient visit, 30-39 minutes3311$0
81002Urinalysis, manual test3016$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 40069)

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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: 4688940240View full group profile
NameSpecialtyState
Nurse PractitionerTN

Reviews

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Frequently asked questions

What number should I use to identify IMAD HADDAD (MD) for billing?
Administrative and clinical systems typically use NPI 1508880063 for IMAD HADDAD (MD).
Quick check: is IMAD HADDAD (MD) active?
Public NPPES data shows IMAD HADDAD (MD) with an active NPI status right now.
What services align with IMAD HADDAD (MD)'s listing?
IMAD HADDAD (MD)'s public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is IMAD HADDAD (MD) tied to Springfield, Kentucky?
If you are local to Springfield, Kentucky, IMAD HADDAD (MD) may be relevant to your search.
Why is information missing for IMAD HADDAD (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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