Active NPI
John R. Habib, MD
- Anesthesiology Physician
- Ft Lauderdale, FL
National Provider Identifier
1023083276
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Apr 19, 2012.
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME79800
- Practice address
- 1960 NE 47TH St
2ND Floor
Ft Lauderdale, FL 33308-7708 - Phone
- (954) 493-5005
- NPI assigned
- Feb 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME79800 | FL | Primary |
Addresses
Primary practice location
1960 NE 47TH St
2ND Floor
Ft Lauderdale, FL 33308-7708
Mailing address
1960 NE 47TH St
2ND Floor
Ft Lauderdale, FL 33308-7708
Phone (954) 493-5005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49804 | Other | FL | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesco Anesthesia Associates Inc | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Hollywood, FL
- NPI 1629066832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023083276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1960 NE 47TH ST",
"address_2": "2ND FLOOR",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333087708",
"telephone_number": "954-493-5005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1960 NE 47TH ST",
"address_2": "2ND FLOOR",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333087708",
"telephone_number": "954-493-5005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HABIB",
"first_name": "JOHN",
"middle_name": "R.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME79800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "49804",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ft Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.