1. Home
  2. Directory
  3. Maryland
  4. Frederick
  5. Dentist
  6. NPI Profile

DR. JAY IBRAHIM HADDAD D.D.S.
NPI 1790760700
Dentist - Oral and Maxillofacial Surgery in Frederick, MD

Active since December 13, 2005Opted out of Medicare · through May 13, 2028
6550 MERCANTILE DR E STE 101, FREDERICK, MD 21703(301) 694-0870(301) 694-7034 Get Directions Write a Review

NPPES record last updated: February 21, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Jay Ibrahim Haddad D.d.s. NPPES

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

DR. JAY IBRAHIM HADDAD D.D.S. (NPI 1790760700) is an individual oral and maxillofacial surgery provider in Frederick, Maryland, licensed in Maryland (13498) and active in the NPI registry since December 2005. He has opted out of Medicare through May 13, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1790760700
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JAY IBRAHIM HADDADCredential: D.D.S.
Location Address6550 MERCANTILE DR E STE 101Frederick, MD 21703-7656
Mailing Address7625 Maple Lawn Blvd, Suite 240Fulton, MD 20759-2565 · (301) 617-3404 · Fax (301) 617-3407
Phone(301) 694-0870
Fax(301) 694-7034
Sole ProprietorNo
Enumeration DateDecember 13, 2005
Last NPPES UpdateFebruary 21, 2023
NPPES CertifiedFebruary 21, 2023
✔ NPI 1790760700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MD · 13498
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
6550 MERCANTILE DR E STE 101, Frederick, MD 21703
Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Jihad Ibrahim Haddad D.d.s.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jay Ibrahim Haddad D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 13, 2016 through May 13, 2028.

Opt-Out Effective DateMay 13, 2016
Opt-Out In Effect ThroughMay 13, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21703 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
Most-billed visit code 99213
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 Jay Haddad's NPI number?

The NPI number for Jay Haddad is 1790760700. It was assigned to this individual provider in the NPPES registry on December 13, 2005. The provider is also known as Dr. Jihad Ibrahim Haddad D.D.S..

Where is Jay Haddad located?

Jay Haddad practices at 6550 Mercantile Dr E Ste 101, Frederick, MD 21703. The listed phone number is (301) 694-0870.

What is Jay Haddad's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Jay Haddad enrolled in Medicare?

No. Jay Haddad has opted out of Medicare through May 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Jay Haddad accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Jay 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.

When was this NPI record last updated?

The NPPES record for Jay Haddad was last updated on February 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.