HOUSAM I HADDAD MEDICAL PRACTICE, PLLC
NPI 1285909788
Internal Medicine in Liberty, KY

Q: What is Housam I Haddad Medical Practice, PLLC's specialty?

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

Active since March 15, 2012

187 WOLFORD AVE, LIBERTY, KY 42539(859) 327-7283(800) 591-6398 Get Directions Write a Review

NPPES record last updated: December 21, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Housam I Haddad Medical Practice, Pllc NPPES

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

HOUSAM I HADDAD MEDICAL PRACTICE, PLLC (NPI 1285909788) is a healthcare organization registered as an internal medicine in Liberty, Kentucky and active in the NPI registry since March 2012. The organization lists Housam I Haddad, Owner, as its authorized official.

NPPES Registry Identity

NPI1285909788

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameHOUSAM I HADDAD MEDICAL PRACTICE, PLLC

Location Address187 WOLFORD AVELiberty, KY 42539-3278

Mailing AddressPo Box 1519Liberty, KY 42539-1519 · (859) 327-7283 · Fax (606) 787-0251

Phone(859) 327-7283

Fax(800) 591-6398

Organization SubpartNo

Authorized OfficialHousam I HaddadOwner · (859) 327-7283

Enumeration DateMarch 15, 2012

Last NPPES UpdateDecember 21, 2016

✔ NPI 1285909788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in KY · 31531

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.

187 WOLFORD AVE, Liberty, KY 42539

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Other Identifiers 1

Medicaid64315310KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Housam I Haddad Medical Practice, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Housam I Haddad Medical Practice, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Housam Haddad, M.D.

Internal Medicine

NPI 1467422253

187 WOLFORD AVE
Liberty, KY 42539

(606) 787-8348

✔ PECOS✔ Accepts MedicareSame address

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

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 Housam I Haddad Medical Practice, PLLC's NPI number?

The NPI number for Housam I Haddad Medical Practice, PLLC is 1285909788. It was assigned to this organization in the NPPES registry on March 15, 2012.

Where is Housam I Haddad Medical Practice, PLLC located?

Housam I Haddad Medical Practice, PLLC is located at 187 Wolford Ave, Liberty, KY 42539. The listed phone number is (859) 327-7283.

What is Housam I Haddad Medical Practice, PLLC's specialty?

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

Is Housam I Haddad Medical Practice, PLLC enrolled in Medicare?

Yes. Housam I Haddad Medical Practice, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Housam I Haddad Medical Practice, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Housam I Haddad Medical Practice, PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Housam I Haddad Medical Practice, PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter of Tennessee list Housam I Haddad Medical Practice, PLLC 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 Housam I Haddad Medical Practice, PLLC was last updated on December 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.