Individual provider Active NPI

Fadi A Habib, MD

  • Urology Physician
  • Chicago, IL
National Provider Identifier
1013963164
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
036085999 Issued in IL
Practice address
5600 W Addison St
Suite 305
Chicago, IL 60634-4401
Phone
(773) 725-0760
Fax
(773) 725-3499
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 01084503A IN
Urology Physician 208800000X 036085999 IL Primary

Addresses

Primary practice location

5600 W Addison St
Suite 305
Chicago, IL 60634-4401

Mailing address

5600 W Addison St
Suite 305
Chicago, IL 60634-4401
Phone (773) 725-0760

Other practice location 1

3201 Old Glenview Road
Ste 130
Wilmette, IL 60091-2964
Phone (847) 673-6505

Other practice location 2

331 W Surf Street
Ste 331
Chicago, IL 60657-7227
Phone (773) 296-6110

Other practice location 3

5177 McCarty Ln
Lafayette, IN 47905-8764
Phone (765) 448-8000

Other practice location 4

2735 N Harlem Avenue
Chicago, IL 60707-1636
Phone (773) 385-6069

Other identifiers 2

IdentifierTypeStateIssuer
815500439OtherINMEDICARE PTAN
300048939MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fhabib@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040811000906 IL Practitioner - Urology 0749252591 Reassigns benefits to 3 organizations
I20210420001856 IN Practitioner - Urology 0749252591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Humboldt Park HealthGroup PAC ID 8921907072, 106 clinicians
Metro Chicago Surgical Oncology LLCGroup PAC ID 7214107069, 13 clinicians
Thorek Memorial HospitalGroup PAC ID 4981593399, 49 clinicians

Practice addresses (Care Compare)

1044 N Mozart St
Suite 405
Chicago, IL 60622-2790
Phone (773) 292-8227

5600 W Addison St
Suite 305
Chicago, IL 60634-4468
Phone (773) 725-0760

840 W Irving Park Rd
Suite 305
Chicago, IL 60613-3011
Phone (773) 975-6775

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Arnett Clinic, LLC Current Accepting new patients
Arnett Clinic, LLC CurrentSince Jun 18, 2021 Accepting new patients
United Shockwave Services, LTD. CurrentSince Jan 1, 1987 Accepting new patients
United Shockwave Services, LTD. Urology Current Accepting new patients
United Shockwave Services, LTD. Urology CurrentSince Jan 1, 1987 Accepting new patients
Arnett Clinic, LLC CurrentSince Jun 18, 2021 Accepting new patients
Thorek Memorial Hospital CurrentSince Oct 2, 2023 Accepting new patients
Metro Chicago Surgical Oncology LLC CurrentSince Jul 31, 2011 Accepting new patients
Humboldt Park Health CurrentSince Aug 21, 2017 Accepting new patients
Thorek Memorial Hospital CurrentSince Oct 2, 2023 Accepting new patients
Metro Chicago Surgical Oncology LLC Urology CurrentSince Jul 31, 2011 Accepting new patients

Locations

331 W Surf St
Ste 331
Chicago, IL 60657
Phone (773) 296-6110

5600 W Addison St
Ste 305
Chicago, IL 60634
Phone (773) 725-0760

2735 N Harlem Ave
Chicago, IL 60707
Phone (773) 385-6069

8016 Reliable Pkwy
Chicago, IL 60686

1044 N Mozart St
Ste 405
Chicago, IL 60622
Phone (773) 292-8227

840 W Irving Park Rd
#305
Chicago, IL 60613
Phone (773) 447-0200

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

331 W Surf St
Ste 902
Chicago, IL 60657
Phone (312) 337-3010

1875 W Dempster St
Ste G04
Park Ridge, IL 60068
Phone (630) 684-9361

450 W State Route 22
South Barrington, IL 60010
Phone (847) 381-0123

6701 159th St
Tinley Park, IL 60477
Phone (708) 429-0222

815 Pasquinelli Dr
Westmont, IL 60559
Phone (630) 366-7854

3201 Old Glenview Rd
Ste 130
Wilmette, IL 60091
Phone (847) 673-6505

2600 Greenbush St
Lafayette, IN 47904

5177 McCarty Ln
Lafayette, IN 47905
Phone (765) 838-7101

1200 W White River Blvd
Muncie, IN 47303
Phone (765) 254-4009

Networks

  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3164/brand/1/csg/181/fhir/r4
  • Direct secure messaging: fhabib@direct.iuhealth.org
  • Direct secure messaging: fadi.habib.1@3164.direct.athenahealth.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1013963164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 W ADDISON ST",
            "address_2": "SUITE 305",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344401",
            "telephone_number": "773-725-0760",
            "fax_number": "773-725-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 W ADDISON ST",
            "address_2": "SUITE 305",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344401",
            "telephone_number": "773-725-0760",
            "fax_number": "773-725-3499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3201 Old Glenview Road",
            "address_2": "Ste 130",
            "address_purpose": "LOCATION",
            "city": "Wilmette",
            "state": "IL",
            "postal_code": "600912964",
            "country_code": "US",
            "telephone_number": "847-673-6505",
            "fax_number": "847-673-0299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "331 W Surf Street",
            "address_2": "Ste 331",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606577227",
            "country_code": "US",
            "telephone_number": "773-296-6110",
            "fax_number": "773-725-9554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5177 McCarty Ln",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479058764",
            "country_code": "US",
            "telephone_number": "765-448-8000",
            "fax_number": "765-448-7619",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2735 N Harlem Avenue",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "607071636",
            "country_code": "US",
            "telephone_number": "773-385-6069",
            "fax_number": "773-385-6281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HABIB",
        "first_name": "FADI",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IN",
            "license": "01084503A",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036085999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "815500439",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300048939",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fhabib@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5177 McCarty Ln",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479058764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.