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IBRAHIM J HADDAD MD
NPI 1366401960
Pediatrics - Pediatric Gastroenterology in Boardman, OH

Active since March 22, 2006PECOS EnrolledAccepts Medicare Assignment
7641 MARKET ST STE 3, BOARDMAN, OH 44512(330) 729-9140 Get Directions Write a Review

NPPES record last updated: May 14, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 14, 2019, Nov 29, 2018, Nov 14, 2018 and 2 more (5 updates tracked since 2018).

About Ibrahim J Haddad Md NPPES

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

IBRAHIM J HADDAD MD (NPI 1366401960) is an individual pediatric gastroenterology provider in Boardman, Ohio, licensed in Ohio (35-062494) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Surgical Hospital At Southwoods, and maintains a secondary practice location in Goleta.

NPPES Registry Identity

NPI1366401960
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameIBRAHIM J HADDADCredential: MD
Location Address7641 MARKET ST STE 3Boardman, OH 44512
Mailing AddressPo Box 3349Boardman, OH 44513-3349 · (330) 729-9140 · Fax (330) 729-9144
Phone(330) 729-9140
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateMarch 22, 2006
Last NPPES UpdateMay 14, 20195 updates tracked since enumeration
✔ NPI 1366401960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
Licenses✔ Licensed in OH · 35-062494✔ Licensed in PA · MD045935L✔ Licensed in CA · A44109✔ Licensed in NM · MD2014-0041✔ Licensed in OH · 35062494H
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
7641 MARKET ST STE 3, Boardman, OH 44512
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Secondary Practice Location 1

Location 15333 Hollister Ave Ste 250Goleta, CA 93111 · Phone (805) 879-4242 · Fax (805) 879-4268

Other Identifiers 2

Medicaid0860528OH
Medicaid01256834PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ibrahim J Haddad 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 ID4082895636
PECOS Enrollment IDI20110302000277
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.

Hospital Affiliations CMS Care Compare

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

Surgical Hospital At Southwoods

Acute Care Hospitals · Youngstown, OH
5/5 CMS rating
OwnershipProprietary
CMS Certification Number360352
Location7630 Southern BlvdYoungstown, OH 44512 · Mahoning County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44512 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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 Ibrahim Haddad's NPI number?

The NPI number for Ibrahim Haddad is 1366401960. It was assigned to this individual provider in the NPPES registry on March 22, 2006.

Where is Ibrahim Haddad located?

Ibrahim Haddad practices at 7641 Market St Ste 3, Boardman, OH 44512. The listed phone number is (330) 729-9140.

What is Ibrahim Haddad's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Ibrahim Haddad enrolled in Medicare?

Yes. Ibrahim 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.

What insurance does Ibrahim Haddad accept?

Health plans from CareSource, MedMutual, Moda Health Plan, Inc., Molina Healthcare and Providence Health Plan and 1 other insurer list Ibrahim Haddad 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 Ibrahim Haddad affiliated with any hospitals?

According to CMS data, Ibrahim Haddad is affiliated with Surgical Hospital At Southwoods.

When was this NPI record last updated?

The NPPES record for Ibrahim Haddad was last updated on May 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.