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THAER AHMAD IBRAHIM ABDUL HADI MBBS, MD
NPI 1831706985
Student in an Organized Health Care Education/Training Program in Pensacola, FL

Active since September 23, 2020PECOS Enrolled
5375 N 9TH AVE, PENSACOLA, FL 32504(850) 941-7842(850) 332-0155 Get Directions Write a Review

NPPES record last updated: July 12, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 12, 2021, Sep 23, 2020 (2 updates tracked since 2020).

About Thaer Ahmad Ibrahim Abdul Hadi Mbbs, Md NPPES

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

THAER AHMAD IBRAHIM ABDUL HADI MBBS, MD (NPI 1831706985) is an individual student in an organized health care education/training program in Pensacola, Florida, licensed in Florida (TRN32024) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831706985
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTHAER AHMAD IBRAHIM ABDUL HADICredential: MBBS, MD
Location Address5375 N 9TH AVEPensacola, FL 32504-8725
Mailing Address5375 N 9th AvePensacola, FL 32504-8725 · (850) 941-7842 · Fax (850) 332-0155
Phone(850) 941-7842
Fax(850) 332-0155
Sole ProprietorNo
Enumeration DateSeptember 23, 2020
Last NPPES UpdateJuly 12, 20212 updates tracked since enumeration
NPPES CertifiedNovember 18, 2020
✔ NPI 1831706985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in FL · TRN32024
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPediatricsTaxonomy 208000000X · License TRN32024 (FL)
5375 N 9TH AVE, Pensacola, FL 32504
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thaer Ahmad Ibrahim Abdul Hadi Mbbs, 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.

Medicare Billing Reassignment

Medicare enrollment records show Thaer Abdul Hadi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nemours New Jersey Physician Practice, P.C.
940 mi
Pediatrics
1280 ALMONESSON RD
Deptford, NJ 08096
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Nemours New Jersey Physician Practice PC
  • 183 clinicians in this Medicare group
NPI 1265874713 (800) 416-4441

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

Other Providers at the Same Location NPPES 11

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

ELYSE S SCHRANDT MD
Pediatrics
5375 N 9TH AVE
PENSACOLA, FL 32504
Escambia County (850) 941-7841
MRS. JAMIE CRYSTAL JACKSON M.D.
Pediatrics
5375 N 9TH AVE
PENSACOLA, FL 32504
Escambia County (850) 941-7841
GENESIS D URQUIA MD
Student in an Organized Health Care Education/Training Program
5375 N 9TH AVE
PENSACOLA, FL 32504
Escambia County (850) 941-7841
ORUC BARKIN TIG MD
Student in an Organized Health Care Education/Training Program
5375 N 9TH AVE
PENSACOLA, FL 32504
Escambia County (850) 941-7841
OMOLOLA RHODA AJEKIGBE
Pediatrics
5375 N 9TH AVE
PENSACOLA, FL 32504
Escambia County (850) 941-7841
NESRIN C YURTTUTAN-ENGIN MD
Pediatrics
5375 N 9TH AVE
PENSACOLA, FL 32504
Escambia County (850) 941-7841
PEDRO LUIS ESCALONA DIAZ MD
Student in an Organized Health Care Education/Training Program
5375 N 9TH AVE
PENSACOLA, FL 32504
Escambia County (850) 941-7841
RAMENJOT KAUR MD
Student in an Organized Health Care Education/Training Program
5375 N 9TH AVE
PENSACOLA, FL 32504
Escambia County (850) 941-7841

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 Thaer Abdul Hadi's NPI number?

The NPI number for Thaer Abdul Hadi is 1831706985. It was assigned to this individual provider in the NPPES registry on September 23, 2020.

Where is Thaer Abdul Hadi located?

Thaer Abdul Hadi practices at 5375 N 9th Ave, Pensacola, FL 32504. The listed phone number is (850) 941-7842.

What is Thaer Abdul Hadi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Thaer Abdul Hadi enrolled in Medicare?

Yes. Thaer Abdul Hadi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Thaer Abdul Hadi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thaer Abdul Hadi reassigns Medicare benefits to Nemours New Jersey Physician Practice, P.C. (Deptford, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thaer Abdul Hadi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Thaer Abdul Hadi was last updated on July 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.