JESSE HADDAD (MD) – Family Medicine Physician, NPI 1023679495

JESSE HADDAD (MD) is a healthcare provider. based in Wayne, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 4351044559 (MI). The NPI Number for JESSE HADDAD (MD) is 1023679495

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
JESSE HADDAD (MD)
NPI
1023679495
Phone
Not provided
Address
33155 ANNAPOLIS ST
Enumeration Date
25 June 2019
Last Update Date
10 August 2022

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7347623600
Graduation Year
2019 (7 years ago)
PAC ID
6406182047
Group Practice PAC ID
1850282914
Professional Enrollment ID
I20220730000250
Address ID
MI481352848GA29150RDXX300

Contacts

Secure Messaging
jhaddad941240@direct.beaumont.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

4,432 FAMILY PRACTICE in MI

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Provider Addresses for JESSE HADDAD (MD)

  • Beaumont Hospital, Wayne, 33155, Annapolis Street, Wayne, Wayne County, Michigan, 48184, United States

    WAYNE, MI 481842405

    Phone:

    Type: Mailing

  • 33155 Annapolis St

    Wayne, MI 481842405

    Phone: (734) 467-2483

    Type: Location

  • 26901 BEAUMONT BLVD STE 3D

    SOUTHFIELD, MI 480333849

    Phone:

    Type: Mailing

  • 29150 FORD RD

    GARDEN CITY, MI 481352848

    Phone: (734) 762-3600

    Fax: (734) 762-3611

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-07-30

PECOS data refreshed: 2026-06-15

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
I20220730000250IFamily PracticeMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes5430$0
View full utilization report →

Insurance plans in this area (ZIP 48184)

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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: 1850282914View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is JESSE HADDAD (MD) identified in CMS data?
CMS-hosted NPPES data lists JESSE HADDAD (MD) with NPI 1023679495.
Is JESSE HADDAD (MD) still practicing?
JESSE HADDAD (MD) is currently listed as active in the public NPI registry.
What healthcare role does JESSE HADDAD (MD) hold?
Scheduling teams often label JESSE HADDAD (MD) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does JESSE HADDAD (MD) serve?
JESSE HADDAD (MD)'s listing highlights Wayne, Michigan; more addresses can appear in NPPES.
Why does JESSE HADDAD (MD) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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