Individual provider Active NPI

Shahnaz Habib, M.D.

  • Family Medicine Physician
  • El Paso, TX
National Provider Identifier
1053435917
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.089049 Issued in OH
Practice address
6215 Franklin Hawk
El Paso, TX 79912-8169
Phone
(915) 227-2889
Fax
(915) 760-6266
NPI assigned
Mar 18, 2007
Last updated
Aug 18, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.089049 OH Primary

Addresses

Primary practice location

6215 Franklin Hawk
El Paso, TX 79912-8169

Mailing address

6215 Franklin Hawk
El Paso, TX 79912-8169
Phone (915) 227-2889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090105000587 TX Practitioner - Family Practice 9032272844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

700 S Ochoa St
El Paso, TX 79901-2936
Phone (915) 545-4550

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.089049OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Salud Familiar la Fe, Inc CurrentSince Sep 2, 2008 Accepting new patients
Centro de Salud Familiar la Fe, Inc. Family Medicine CurrentSince Sep 2, 2008 Accepting new patients
Centro de Salud Familiar la Fe, Inc. Past Accepting new patients
Centro de Salud Familiar la Fe, Inc. Past Accepting new patients

Locations

1314 E Yandell Dr
El Paso, TX 79902

200 Lisbon St
El Paso, TX 79905
Phone (915) 630-5145

700 S Ochoa St
El Paso, TX 79901
Phone (915) 545-4550

721 S Ochoa St
El Paso, TX 79901
Phone (915) 545-7090

823 E Yandell Dr
El Paso, TX 79902
Phone (915) 545-7205

12101 Socorro Rd
San Elizario, TX 79849
Phone (915) 851-5519

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1174176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219017600000",
    "number": "1053435917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6215 FRANKLIN HAWK",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799128169",
            "telephone_number": "915-227-2889",
            "fax_number": "915-760-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6215 FRANKLIN HAWK",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799128169",
            "telephone_number": "915-227-2889",
            "fax_number": "915-760-6266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABIB",
        "first_name": "SHAHNAZ",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-18",
        "last_updated": "2008-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.089049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.