DR. BENJAMIN AL-HADDAD MD, MSC, PHD
NPI 1174917322
Pediatrics - Neonatal-Perinatal Medicine in Minneapolis, MN

Active since March 25, 2015PECOS Enrolled
2450 RIVERSIDE AVE # AO-401, MINNEAPOLIS, MN 55454(612) 626-0644 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 22, 2022, Apr 30, 2019 (2 updates tracked since 2019).

About Dr. Benjamin Al-haddad Md, Msc, Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BENJAMIN AL-HADDAD MD, MSC, PHD (NPI 1174917322) is an individual neonatal-perinatal medicine provider in Minneapolis, Minnesota, licensed in Minnesota (71775) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174917322
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. BENJAMIN AL-HADDADCredential: MD, MSC, PHD
Location Address2450 RIVERSIDE AVE # AO-401Minneapolis, MN 55454-1450
Mailing Address2450 Riverside Ave # Ao-401Minneapolis, MN 55454-1450
Sole ProprietorNo
Enumeration DateMarch 25, 2015
Last NPPES UpdateMay 21, 20242 updates tracked since enumeration
NPPES CertifiedMay 21, 2024
✔ NPI 1174917322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in MN · 71775
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License 71775 (MN), MD60868947 (WA)
2450 RIVERSIDE AVE # AO-401, Minneapolis, MN 55454

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Benjamin Al-haddad Md, Msc, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Benjamin Al-haddad reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
2450 RIVERSIDE AVE, STE F140
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
Dentist
701 25TH AVE S, SUITE 400
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: University Of Minnesota Physicians
  • 1,453 clinicians in this Medicare group
Anesthesiology
909 FULTON ST SE
Minneapolis, MN 55455
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,662 clinicians in this Medicare group
Internal Medicine
1700 UNIVERSITY AVE W, 6TH FLOOR WEST
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,361 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
2450 RIVERSIDE AVE # AO-401
MINNEAPOLIS, MN 55454
Physician Assistant
2450 RIVERSIDE AVE # AO-401
MINNEAPOLIS, MN 55454
Pediatrics (Neonatal-Perinatal Medicine)
2450 RIVERSIDE AVE # AO-401
MINNEAPOLIS, MN 55454

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benjamin Al-haddad's NPI number?

The NPI number for Benjamin Al-haddad is 1174917322. It was assigned to this individual provider in the NPPES registry on March 25, 2015.

Where is Benjamin Al-haddad located?

Benjamin Al-haddad practices at 2450 Riverside Ave # Ao-401, Minneapolis, MN 55454. The listed phone number is (612) 626-0644.

What is Benjamin Al-haddad's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Benjamin Al-haddad enrolled in Medicare?

Yes. Benjamin Al-haddad is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Benjamin Al-haddad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Al-haddad reassigns Medicare benefits to 4 organizations: Fairview Express Care (Minneapolis, MN), University Of Minnesota Pediatric Dental Clinic (Minneapolis, MN), University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN) and Healtheast Medical Research Institute (Saint Paul, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Al-haddad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Al-haddad accept?

Health plans from Sanford Health Plan list Benjamin Al-haddad as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Benjamin Al-haddad was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.