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MOHAMMAD HAIDOUS MD
NPI 1245849892
Internal Medicine - Infectious Disease in Mishawaka, IN

Active since July 29, 2020PECOS EnrolledAccepts Medicare Assignment
611 E DOUGLAS RD STE 309, MISHAWAKA, IN 46545(574) 335-6770(574) 335-0779 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 11, 2025, Feb 7, 2025, Oct 31, 2022 and 3 more (6 updates tracked since 2020).

About Mohammad Haidous Md NPPES

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

MOHAMMAD HAIDOUS MD (NPI 1245849892) is an individual infectious disease provider in Mishawaka, Indiana, licensed in Indiana (01096548A) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Regional Medical Center, and maintains a secondary practice location in Orange.

NPPES Registry Identity

NPI1245849892
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameMOHAMMAD HAIDOUSCredential: MD
Location Address611 E DOUGLAS RD STE 309Mishawaka, IN 46545-1467
Mailing Address11100 Euclid AveCleveland, OH 44106-1716 · (216) 844-3833
Phone(574) 335-6770
Fax(574) 335-0779
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 29, 2020
Last NPPES UpdateSeptember 11, 20256 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2025
✔ NPI 1245849892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in IN · 01096548A
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License 57.249573 (OH), A185951 (CA)
611 E DOUGLAS RD STE 309, Mishawaka, IN 46545
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Secondary Practice Location 1

Location 1101 The City Dr SOrange, CA 92868-3201 · Phone (714) 456-7890

Other Identifiers 1

Medicaid300114662IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

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

Mohammad Haidous Md 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 ID2567838063
PECOS Enrollment IDI20250701002382
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

2

Medicare enrollment records show Mohammad Haidous reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Saint Joseph Regional Medical Center-South Bend Campus, Inc.
Same address
Family Medicine
611 E DOUGLAS RD, STE 406, FAMILY MEDICINE FACULTY PHYSICIANS
Mishawaka, IN 46545
  • Reassigned Medicare billing, Indiana enrollment
  • 216 clinicians in this Medicare group
NPI 1144580150 (574) 335-6580
Saint Joseph Regional Medical Center, Inc.
6.2 mi
Family Medicine
60101 BODNAR BLVD STE 100B
Mishawaka, IN 46544
  • Reassigned Medicare billing, Indiana enrollment
  • 205 clinicians in this Medicare group
NPI 1467406074 (574) 335-8500

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

Hospital Affiliations CMS Care Compare 2

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

Saint Joseph Regional Medical Center

Acute Care Hospitals · Mishawaka, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150012
Location5215 Holy Cross PkwyMishawaka, IN 46545 · St. Joseph County
Emergency services Birthing friendly

Saint Joseph Regional Medical Center - Plymouth

Acute Care Hospitals · Plymouth, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150076
Location1915 Lake AvePlymouth, IN 46563 · Marshall County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46545 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Other Providers at the Same Location NPPES 5

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

SUSAN MARIE DOEPKER NP
Nurse Practitioner (Family)
611 E DOUGLAS RD STE 309
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6232
UBA CHINYERE UDEH M.D.
Internal Medicine (Pulmonary Disease)
611 E DOUGLAS RD STE 309
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6900
DR. PAUL JOSEPH GUENTERT M.D.
Internal Medicine (Pulmonary Disease)
611 E DOUGLAS RD STE 309
MISHAWAKA, IN 46545
St. Joseph County (574) 246-9350
DONALD ROBERT WESTERHAUSEN III MD
Internal Medicine (Pulmonary Disease)
611 E DOUGLAS RD STE 309
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6900
CAN TALUG MD
Urology
611 E DOUGLAS RD STE 309
MISHAWAKA, IN 46545
St. Joseph County (574) 948-5390

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 Mohammad Haidous's NPI number?

The NPI number for Mohammad Haidous is 1245849892. It was assigned to this individual provider in the NPPES registry on July 29, 2020.

Where is Mohammad Haidous located?

Mohammad Haidous practices at 611 E Douglas Rd Ste 309, Mishawaka, IN 46545. The listed phone number is (574) 335-6770.

What is Mohammad Haidous's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Mohammad Haidous enrolled in Medicare?

Yes. Mohammad Haidous 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 Mohammad Haidous's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohammad Haidous reassigns Medicare benefits to 2 organizations: Saint Joseph Regional Medical Center-South Bend Campus, Inc. (Mishawaka, IN) and Saint Joseph Regional Medical Center, Inc. (Mishawaka, IN). 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 Mohammad Haidous's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohammad Haidous accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Mohammad Haidous 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 Mohammad Haidous affiliated with any hospitals?

According to CMS data, Mohammad Haidous is affiliated with Saint Joseph Regional Medical Center and Saint Joseph Regional Medical Center - Plymouth.

When was this NPI record last updated?

The NPPES record for Mohammad Haidous was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.