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

NPI Status: Active since March 15, 2012

Contact Information

187 WOLFORD AVE
LIBERTY, KY
ZIP 42539
Phone: (859) 327-7283
Fax: (800) 591-6398

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Internal Medicine
Accepts Insurance

About HOUSAM I HADDAD MEDICAL PRACTICE, PLLC

This page provides the complete NPI Profile along with additional information for Housam I Haddad Medical Practice, Pllc, an internist established in Liberty, Kentucky operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1285909788 assigned on March 2012. The practitioner's primary taxonomy code is 207R00000X with license number 31531 (KY). The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Housam I Haddad Md (Owner)

NPI: 1285909788
Provider Name: HOUSAM I HADDAD MEDICAL PRACTICE, PLLC
Entity Type: Organization
Location Address: 187 WOLFORD AVE LIBERTY, KY 42539
Location Phone: (859) 327-7283
Location Fax: (800) 591-6398
Mailing Address: PO BOX 1519 LIBERTY, KY 42539
Mailing Phone: (859) 327-7283
Mailing Fax: (800) 591-6398
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 03-15-2012
Last Update Date: 12-21-2016
Code Navigator

An internist like Housam I Haddad Medical Practice, Pllc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Internal Medicine
Taxonomy Code: 207R00000X
Type: Allopathic & Osteopathic Physicians
License No.: 31531
License State: KY
Taxonomy Description: 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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Ambetter from Home State Health

Complete Gold - EPO
Complete Gold + Vision + Adult Dental - EPO
Complete Silver - EPO
Complete Silver + Vision + Adult Dental - EPO
Elite Bronze - EPO
Elite Bronze + Vision + Adult Dental - EPO
Everyday Bronze - EPO
Everyday Bronze + Vision + Adult Dental - EPO
Everyday Gold - EPO
Everyday Gold + Vision + Adult Dental - EPO

Ambetter Health

Choice Bronze HSA - HMO
Choice Bronze HSA + Vision + Adult Dental - HMO
Clear Gold - HMO
Clear Gold + Vision + Adult Dental - HMO
Clear Silver - HMO
Complete Gold - HMO
Complete Gold + Vision + Adult Dental - HMO
Complete Silver - HMO
Complete Silver + Vision + Adult Dental - HMO
Elite Gold - HMO

Ambetter of Illinois

Central Bronze - HMO
Central Bronze + Vision + Adult Dental - HMO
Central Gold - HMO
Central Gold + Vision + Adult Dental - HMO
Clear Silver - HMO
Everyday Bronze - HMO
Everyday Bronze + Vision + Adult Dental - HMO
Everyday Gold - HMO
Everyday Gold + Vision + Adult Dental - HMO
Focused Silver - HMO

Ambetter of Tennessee

Clear Silver - EPO
Elite Bronze - EPO
Elite Bronze + Vision + Adult Dental - EPO
Elite Gold - EPO
Elite Gold + Vision + Adult Dental - EPO
Enhanced Diabetes Care Silver with $0 Drug Options - EPO
Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
Everyday Bronze - EPO
Everyday Bronze + Vision + Adult Dental - EPO
Everyday Gold - EPO

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: DR. HOUSAM I HADDAD MD
Authorized Official Title: OWNER
Authorized Official Phone: (859) 327-7283

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
64315310	MEDICAID (05)	KY

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	2	8	5	9	0	9	7	8	8
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	16	5	18	0	18	7	16
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 8 + 0 + 1 + 8 + 7 + 1 + 6 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 8									8

The NPI number 1285909788 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.