EVELYN VICTORIA HADDAD M.D.
NPI 1295936755
Internal Medicine in San Mateo, CA

Q: What is Evelyn Haddad's NPI number?

The NPI number for Evelyn Haddad is 1295936755. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Q: What is Evelyn Haddad's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Evelyn Haddad was last updated on December 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since May 30, 2007PECOS EnrolledAccepts Medicare Assignment

222 W 39TH AVE, SAN MATEO, CA 94403(650) 573-2780 Get Directions Write a Review

NPPES record last updated: December 8, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Evelyn Victoria Haddad M.d. NPPES

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

EVELYN VICTORIA HADDAD M.D. (NPI 1295936755) is an individual internal medicine provider in San Mateo, California, licensed in California (A94382) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At San Antonio (2004).

NPPES Registry Identity

NPI1295936755

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameEVELYN VICTORIA HADDADCredential: M.D.

Location Address222 W 39TH AVESan Mateo, CA 94403-4364

Mailing Address222 W 39th AveSan Mateo, CA 94403-4364 · (650) 573-2780

Phone(650) 573-2780

Sole ProprietorYes

Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2004

Enumeration DateMay 30, 2007

Last NPPES UpdateDecember 8, 2011

✔ NPI 1295936755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · A94382

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.

222 W 39TH AVE, San Mateo, CA 94403

Open in Google Maps ↗

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

Evelyn Victoria Haddad M.d. 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 ID4880780493

PECOS Enrollment IDI20071012000166

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 Reassignment

Medicare enrollment records show Evelyn Haddad reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of San Mateo

Same address

Multi-Specialty

222 W 39TH AVE
San Mateo, CA 94403

Reassigned Medicare billing, California enrollment
Also billed through NPI 1114005105 (California)
430 clinicians in this Medicare group

NPI 1831268580 (650) 573-3702

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94403 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

$153.83 typical visit price

range $69.00 – $202.35

Typical copayment $38.45 (range $17.25 – $50.58)

Most-billed visit code 99204

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers13 claims27 services$5.84 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers11 claims11 services$1.03 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. LORENA MICHEL PSY.D.

Psychologist (Clinical)