MRS. SEHAM AL HADDAD M.D.
NPI 1609005099
Hospitalist in Johns Creek, GA

Active since July 07, 2009PECOS EnrolledAccepts Medicare Assignment
98.31/100
CMS Quality Rating
6325 HOSPITAL PKWY, JOHNS CREEK, GA 30097(678) 474-7038 Get Directions Write a Review

NPPES record last updated: October 8, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Seham Al Haddad M.d. NPPES

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

MRS. SEHAM AL HADDAD M.D. (NPI 1609005099) is an individual hospitalist provider in Johns Creek, Georgia, licensed in Georgia (68347) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1609005099
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameMRS. SEHAM AL HADDADCredential: M.D.
Location Address6325 HOSPITAL PKWYJohns Creek, GA 30097-5775
Mailing Address6325 Hospital PkwyJohns Creek, GA 30097-5775 · (678) 474-7038
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 7, 2009
Last NPPES UpdateOctober 8, 2015
NPI 1609005099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in GA · 68347
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
6325 HOSPITAL PKWY, Johns Creek, GA 30097

Accepted 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

Mrs. Seham Al 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 ID8729236062
PECOS Enrollment IDI20120912000242
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
708 services228 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
98 services98 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
21 services14 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
16 services16 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30097 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.88
Improvement Activities40
Cost84.56

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.

Specialist/Technologist, Other (Surgical Assistant)
6325 HOSPITAL PKWY
JOHNS CREEK, GA 30097
Hospitalist
6325 HOSPITAL PKWY
JOHNS CREEK, GA 30097
Emergency Medicine
6325 HOSPITAL PKWY
JOHNS CREEK, GA 30097
Anesthesiology (Critical Care Medicine)
6325 HOSPITAL PKWY
JOHNS CREEK, GA 30097
Registered Nurse
6325 HOSPITAL PKWY
JOHNS CREEK, GA 30097
Obstetrics & Gynecology
6325 HOSPITAL PKWY
JOHNS CREEK, GA 30097
Nurse Anesthetist, Certified Registered
6325 HOSPITAL PKWY, EMORY JOHNS CREEK HOSP
JOHNS CREEK, GA 30097
Family Medicine
6325 HOSPITAL PKWY
JOHNS CREEK, GA 30097

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 Seham Al Haddad's NPI number?

The NPI number for Seham Al Haddad is 1609005099. It was assigned to this individual provider in the NPPES registry on July 7, 2009.

Where is Seham Al Haddad located?

Seham Al Haddad practices at 6325 Hospital Pkwy, Johns Creek, GA 30097. The listed phone number is (678) 474-7038.

What is Seham Al Haddad's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Seham Al Haddad enrolled in Medicare?

Yes. Seham Al 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 Seham Al Haddad accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Seham Al 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 Seham Al Haddad affiliated with any hospitals?

According to CMS data, Seham Al Haddad is affiliated with Northside Hospital Forsyth and Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Seham Al Haddad was last updated on October 8, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.