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DOMINIC JAMIL HADDAD DO
NPI 1215566609
Internal Medicine in Maplewood, MN

Active since April 07, 2020PECOS EnrolledAccepts Medicare Assignment
87.63/100
CMS Quality Rating
1575 BEAM AVE, MAPLEWOOD, MN 55109(651) 232-7000 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 27, 2023, Apr 7, 2020 (2 updates tracked since 2020).

About Dominic Jamil Haddad Do NPPES

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

DOMINIC JAMIL HADDAD DO (NPI 1215566609) is an individual internal medicine provider in Maplewood, Minnesota, licensed in Minnesota (74531) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview St John's Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1215566609
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDOMINIC JAMIL HADDADCredential: DO
Location Address1575 BEAM AVEMaplewood, MN 55109-1126
Mailing Address1575 Beam AveMaplewood, MN 55109-1126 · (651) 232-7000
Phone(651) 232-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 7, 2020
Last NPPES UpdateJuly 27, 20232 updates tracked since enumeration
NPPES CertifiedJuly 27, 2023
✔ NPI 1215566609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MN · 74531
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1575 BEAM AVE, Maplewood, MN 55109
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dominic Jamil Haddad Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234553660
PECOS Enrollment IDI20230808000983
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
191 services101 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
68 services67 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
61 services42 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
46 services45 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

M Health Fairview St John's Hospital

Acute Care Hospitals · Maplewood, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240210
Location1575 Beam AvenueMaplewood, MN 55109 · Ramsey County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.78
Promoting Interoperability100
Improvement Activities40
Cost71.59

Other Providers at the Same Location NPPES 20

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

BRIAN TOLLY M.D.
Anesthesiology
1575 BEAM AVE
MAPLEWOOD, MN 55109
Ramsey County (920) 915-9034
YONG YANG
Interpreter
1575 BEAM AVE
MAPLEWOOD, MN 55109
Ramsey County (651) 232-6177
GRETCHEN L HANSON CNNP
Nurse Practitioner (Neonatal)
1575 BEAM AVE
MAPLEWOOD, MN 55109
Ramsey County (651) 232-7000
DR. NATHAN DEAN SWENSON M.D.
Emergency Medicine
1575 BEAM AVE
MAPLEWOOD, MN 55109
Ramsey County (651) 232-7348
NICHOLAS BASIL LOUDAS
Radiology (Radiation Oncology)
1575 BEAM AVE
MAPLEWOOD, MN 55109
Ramsey County (651) 232-7970
HTOO BWAY INTERPRETER
Interpreter
1575 BEAM AVE
SAINT PAUL, MN 55109
Ramsey County (651) 232-2917
HEALTHEAST ST. JOHN'S HOSPITAL
Pharmacy (Institutional Pharmacy)
1575 BEAM AVE
MAPLEWOOD, MN 55109
Ramsey County (651) 232-7970
DR. RAHUL KORANNE MD
Hospitalist
1575 BEAM AVE
MAPLEWOOD, MN 55109
Ramsey County (651) 232-7800

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 Dominic Haddad's NPI number?

The NPI number for Dominic Haddad is 1215566609. It was assigned to this individual provider in the NPPES registry on April 7, 2020.

Where is Dominic Haddad located?

Dominic Haddad practices at 1575 Beam Ave, Maplewood, MN 55109. The listed phone number is (651) 232-7000.

What is Dominic Haddad's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Dominic Haddad enrolled in Medicare?

Yes. Dominic Haddad is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Dominic Haddad accept?

Health plans from Medica list Dominic 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.

Is Dominic Haddad affiliated with any hospitals?

According to CMS data, Dominic Haddad is affiliated with M Health Fairview St John's Hospital.

When was this NPI record last updated?

The NPPES record for Dominic Haddad was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.