Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dominic Jamil Haddad, DO

Individual provider Internal Medicine Physician · NPI 1215566609

Dominic Jamil Haddad, DO is an Internal Medicine in Maplewood, Minnesota. Qualified in 2020, 6 years ago. Practices with Healtheast Medical Research Institute, a 678-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
6
Licensed in
MN
In the registry since
2020
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1575 Beam Ave
Maplewood, MN 55109-1126
Phone: (651) 232-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 74531 (MN)

Record details

NPI number1215566609
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 7, 2020
Last updated in NPPESJuly 27, 2023
Certification dateJuly 27, 2023
Mailing address1575 Beam Ave, Maplewood, MN 55109-1126

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Healtheast Medical Research Institute — 678 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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