TYLER HADDAD DO
NPI 1881155570
Internal Medicine - Pulmonary Disease in Columbus, OH

Q: What is Tyler Haddad's NPI number?

The NPI number for Tyler Haddad is 1881155570. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Q: What is Tyler Haddad's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Haddad was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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 March 26, 2019PECOS Enrolled

452 W 10TH AVE, COLUMBUS, OH 43210(614) 293-4299(614) 293-2867 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Tyler Haddad Do NPPES

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

TYLER HADDAD DO (NPI 1881155570) is an individual pulmonary disease provider in Columbus, Ohio, licensed in Ohio (34.015379) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1881155570

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameTYLER HADDADCredential: DO

Location Address452 W 10TH AVEColumbus, OH 43210-1240

Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-4299 · Fax (614) 293-2867

Phone(614) 293-4299

Fax(614) 293-2867

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 26, 2019

Last NPPES UpdateJune 22, 2026

NPPES CertifiedJune 22, 2026

✔ NPI 1881155570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Licenses✔ Licensed in OH · 34.015379✔ Licensed in CA · 23751

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 34.015379 (OH)

452 W 10TH AVE, Columbus, OH 43210

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Secondary Practice Location 1

Location 1200 Ucla Medical Plz Ste 365BLos Angeles, CA 90095-1267 · Phone (310) 825-7921 · Fax (614) 293-9789

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tyler Haddad Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820323629

PECOS Enrollment IDI20260706002765

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 Tyler Haddad reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Osu Internal Medicine, LLC

Same address

Internal Medicine

410 W 10TH AVE
Columbus, OH 43210

Reassigned Medicare billing, Ohio enrollment
1,230 clinicians in this Medicare group

NPI 1740231448 (614) 293-8000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43210 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.

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.

DR. MAZIAR KHORSANDI MD

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