DOMINIC JAMIL HADDAD DO
NPI 1215566609
Internal Medicine in Maplewood, MN
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
4Medicare enrollment records show Dominic Haddad reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Maplewood, MN 55109
- Reassigned Medicare billing, Minnesota enrollment
- 2,361 clinicians in this Medicare group
Maplewood, MN 55109
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Aurora, CO 80011
- Reassigned Medicare billing, Colorado enrollment
- 49 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.
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.
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, MNPhysician 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.
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.
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.
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.
Which organizations bill Medicare for Dominic Haddad's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dominic Haddad reassigns Medicare benefits to 4 organizations: Healtheast Medical Research Institute (Maplewood, MN), Fairview Express Care (Maplewood, MN), Fairview Health Services (Minneapolis, MN) and Carepoint Hospital Medicine, PLLC (Aurora, CO). 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 Dominic Haddad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Dominic Jamil Haddad, DO · NPI 1215566609
Internal Medicine physician in Maplewood, Minnesota. Individual provider, active in the CMS NPPES registry since April 7, 2020.
## Identity
- **NPI:** 1215566609 (Entity type: Individual)
- **Enumerated:** April 7, 2020
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 74531 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1575 BEAM AVE, Maplewood, MN 55109-1126
- **Phone:** (651) 232-7000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Healtheast Medical Research Institute (NPI 1710147954, Maplewood, MN); Fairview Express Care (NPI 1902311210, Maplewood, MN); Fairview Health Services (NPI 1316008212, Minneapolis, MN); Carepoint Hospital Medicine, PLLC (NPI 1649867276, Aurora, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** July 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1215566609) · Data from the CMS NPPES public registry.