Hisham Kaddurah
NPI 1376004325ActiveIndividual· Radiology, Diagnostic Radiology· Goodyear, AZ
Radiology, Diagnostic Radiology in Goodyear, Arizona, trained at Wayne State University School of Medicine (class of 2018). Medicare paid $12,617 for services to 233 patients in 2024.
Overview
| NPI | 1376004325 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Mar 30, 2019 |
| Last updated in NPPES | May 1, 2026 |
| Certified by provider | May 1, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | 73706 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (AZ); Practitioner - Diagnostic Radiology (IL); Practitioner - Diagnostic Radiology (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 233 |
|---|---|
| Services billed | 667 across 50 procedure codes |
| Paid by Medicare | $12,617 |
Education and affiliations
| Medical school | Wayne State University School of Medicine |
|---|---|
| Graduation year | 2018 |
| Medicare specialty | Diagnostic Radiology |
Medical groups
- Vhs Outpatient Clinics IncPhoenix, AZ · 208 clinicians
- Insight Chicago IncChicago, IL · 141 clinicians
- Henry Ford Medical Group GenesysBurton, MI · 97 clinicians
- Prime Radiology Consultants P.CPlano, TX · 53 clinicians
Hospital affiliations
- Abrazo Arrowhead HospitalGlendale, AZ
- Abrazo West CampusGoodyear, AZ
- Ascension Genesys HospitalGrand Blanc, MI
- Insight Hospital and Medical Center ChicagoChicago, IL
- Memorial HealthcareOwosso, MI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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