Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ISSA R HADDAD MD
NPI 1720606510
Internal Medicine - Nephrology in Little Rock, AR

Q: What is Issa Haddad's NPI number?

The NPI number for Issa Haddad is 1720606510. It was assigned to this individual provider in the NPPES registry on July 8, 2020.

Q: What is Issa Haddad's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Issa Haddad was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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 July 08, 2020PECOS Enrolled

4301 W MARKHAM ST # 501, LITTLE ROCK, AR 72205(501) 214-2400(501) 661-7936 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 4, 2026, Jun 14, 2023, Jul 8, 2020 (3 updates tracked since 2020).

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About Dr. Issa R Haddad Md NPPES

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

DR. ISSA R HADDAD MD (NPI 1720606510) is an individual nephrology provider in Little Rock, Arkansas, licensed in Arkansas (E-20491) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Gainesville.

NPPES Registry Identity

NPI1720606510

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. ISSA R HADDADCredential: MD

Location Address4301 W MARKHAM ST # 501Little Rock, AR 72205-7101

Mailing Address4301 W Markham St # 783Little Rock, AR 72205-7101 · (501) 686-8000 · Fax (501) 526-5148

Phone(501) 214-2400

Fax(501) 661-7936

Sole ProprietorNo

Enumeration DateJuly 8, 2020

Last NPPES UpdateAugust 4, 20263 updates tracked since enumeration

NPPES CertifiedAugust 4, 2026

✔ NPI 1720606510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Licenses✔ Licensed in AR · E-20491✔ Licensed in FL · 36619

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License E-20491 (AR), 5315216915 (MI)

4301 W MARKHAM ST # 501, Little Rock, AR 72205

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Secondary Practice Location 1

Location 11600 SW Archer Rd Rm 4101Gainesville, FL 32610-1811 · Phone (352) 265-0239

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Issa R Haddad Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72205 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

$119.36 typical visit price

range $51.36 – $157.74

Typical copayment $29.84 (range $12.84 – $39.43)

Most-billed visit code 99204

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOSEPH HUNTER HOLTHOFF M.D., PH.D.

Internal Medicine (Nephrology)