Active NPI
Ayaaz A Habibullah, MD
- Family Medicine Physician
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2020019624
- Practice address
- 1000 W Nifong Blvd Ste 120
Columbia, MO 65203-5615 - Phone
- (573) 444-6331
- Fax
- (855) 576-4137
- NPI assigned
- Jun 21, 2017
- Last updated
- Sep 14, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 036154125 | IL | |
| Family Medicine Physician | 207Q00000X | 125071326 | IL | |
| Family Medicine Physician | 207Q00000X | 2020019624 | MO | Primary |
Addresses
Primary practice location
1000 W Nifong Blvd Ste 120
Columbia, MO 65203-5615
Mailing address
900 W Nifong Blvd Ste 101
Columbia, MO 65203-4469
Phone (573) 499-9009
Other practice location 1
900 W Nifong Blvd Ste 101
Columbia, MO 65203-4469
Phone (573) 499-9009
Other practice location 2
1600 N Morley St
Moberly, MO 65270-3666
Phone (660) 372-9595
Other practice location 3
612 N 11th St
Quincy, IL 62301-2662
Phone (217) 224-9484
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Hillsboro Area Hospital, Inc.
Practice addresses (Care Compare)
1200 E Tremont St
Hillsboro, IL 62049-1912
Phone (217) 532-6111
1205 N Missouri St
Macon, MO 63552-2095
Phone (660) 385-8700
1515 Union Ave
Moberly, MO 65270-9407
Phone (660) 263-8400
1600 N Morley St
Moberly, MO 65270-3666
Phone (660) 372-9595
20733 N Broad St
Carlinville, IL 62626-3710
Phone (217) 854-3141
239 Bowling Green Rd
Lexington, MS 39095-5167
Phone (662) 834-1321
2505 Mission Dr
Jefferson City, MO 65109-9508
Phone (573) 681-3000
5408 S Broadway
Saint Louis, MO 63111-2023
Phone 31435372250000
960 Avent Dr
Grenada, MS 38901-5230
Phone (662) 227-7000
Hospital & facility affiliations
- Acg Hospice
- St Croix Hospice
- Acg Hospice
- SSM Health St. Mary's Hospital - Jefferson City
- Boone Hospital Center
- Hillsboro Area Hospital
- Carlinville Area Hospital
- Moberly Regional Medical Center
- Lutheran Nursing Home
- Fountainbleau Nursing Center
- Crystal Oaks
- St Louis Altenheim
- Macon County Samaritan Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036154125 | IL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hannibal Regional Healthcare System Inc | Current | Accepting new patients | |
| Macoupin Physician Services, PC | Hospitalist | Current | Accepting new patients |
| Carlinville Area Hospital Association | Current | Accepting new patients | |
| Hannibal Regional Healthcare System, Inc | Current | Accepting new patients | |
| Cole Physician Services LLC | Hospitalist | Current | Accepting new patients |
| Grenada Emergency Group, LLC | Hospitalist | Current | Accepting new patients |
| Hillsboro Area Hospital, Inc. | Current | Accepting new patients | |
| Prime Time Physicians, LLC | Family Medicine | Current | Accepting new patients |
| Health-1 LLC | Family Medicine | Current | Accepting new patients |
| Carlinville Area Hospital Association | Current | Accepting new patients | |
| Hannibal Regional Healthcare System, Inc | Family Medicine | Current | Accepting new patients |
| Macon County Samaritan Hospital | Current | Accepting new patients | |
| Hillsboro Area Hospital, Inc. | Current | Accepting new patients | |
| Hillsboro Area Hospital, Inc. | Hospitalist | Current | Accepting new patients |
| Midwest Hospitalist Physicians LLP | Hospitalist | Current | Accepting new patients |
| Grenada Physician Services, LLC | Hospitalist | Current | Accepting new patients |
| Malik St Louis LLC | Past | Accepting new patients | |
| Malik Corporation | Past | Accepting new patients | |
| SSM Regional Health Services | Past | Accepting new patients | |
| Western Missouri Nursing and Rehab LLC | Past | Accepting new patients |
Locations
20733 N Broad St
Carlinville, IL 62626
Phone (217) 854-3141
1200 E Tremont St
Hillsboro, IL 62049
Phone (217) 532-4154
1000 W Nifong Blvd
Ste 120
Columbia, MO 65203
Phone (573) 268-5725
202 S West St
Concordia, MO 64020
Phone (660) 463-2267
10 S Hospital Dr
Fulton, MO 65251
Phone (573) 592-6550
6500 Hospital Dr
Hannibal, MO 63401
Phone (573) 629-3400
315 S Osteopathy Ave
Kirksville, MO 63501
Phone (660) 785-1000
1205 N Missouri St
Macon, MO 63552
Phone (660) 385-3151
1515 Union Ave
Moberly, MO 65270
Phone (660) 263-2400
1600 N Morley St
Moberly, MO 65270
Phone (660) 263-1225
1600 N Morley St
Ste A120
Moberly, MO 65270
Phone (660) 263-1225
5408 S Broadway
Saint Louis, MO 63111
Phone (314) 353-7225
960 Avent Dr
Grenada, MS 38901
Phone (662) 227-7000
239 Bowling Green Rd
Lexington, MS 39095
Phone (662) 834-1321
Interoperability endpoints
- ahabibullah524299@direct-ehr-ssmhc.com
- ayaazhabibullah@mhccaremail.com
- https://fhir-usa.unify.chbase.com/org/carlin-6115abf3
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
- https://fhir4.healow.com/fhir/r4/CGGEDD/Endpoint/CGGEDD
Ownership & related parties
All facility ownership & control disclosures 3
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Fountainbleau Nursing Center | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Mar 1, 2025 Nov 10, 2025 |
| Lutheran Nursing Home | Skilled nursing facility | Operational/Managerial Control | Mar 1, 2025 |
| St Louis Altenheim | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jul 1, 2025 Jul 7, 2025 |
Owned or controlled facilities with NPI records 3
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Fountainbleau Nursing Center
- Skilled Nursing Facility
- Festus, MO
- NPI 1356342695
Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Saint Louis, MO
- NPI 1295467306
Adp of the SNF, Operational/Managerial Control
-
dba Lutheran Nursing Home
- Skilled Nursing Facility
- Concordia, MO
- NPI 1851091656
Operational/Managerial Control
Organizations & group practices 20
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.
-
- Hospitalist Physician
- Jefferson City, MO
- NPI 1144578659
-
dba Hannibal Regional Medical Group
- Multi-Specialty Clinic/Center
- Hannibal, MO
- NPI 1134311392
-
- Critical Access Hospital
- Macon, MO
- NPI 1548215106
-
- Family Medicine Physician
- Moberly, MO
- NPI 1215787700
-
- Hospitalist Physician
- Grenada, MS
- NPI 1932762721
-
- Hospitalist Physician
- Carlinville, IL
- NPI 1013686302
-
- Family Medicine Physician
- Columbia, MO
- NPI 1396591202
-
dba Carlinville Area Hospital
- Critical Access Hospital
- Carlinville, IL
- NPI 1053425124
-
- Critical Access Hospital
- Hillsboro, IL
- NPI 1194705210
-
- Hospitalist Physician
- Hillsboro, IL
- NPI 1821078213
Hospital & facility affiliations 16
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Columbia, MO
- NPI 1255025953
-
dba ACG Hospice
- Community Based Hospice Care Agency
- Lee's Summit, MO
- NPI 1922792621
-
dba Boone Hospital Center
- Cardiac Rehabilitation Clinic/Center
- Columbia, MO
- NPI 1548734734
Hospital
-
dba Boone Hospital Center
- General Acute Care Hospital
- Columbia, MO
- NPI 1902817844
-
dba Crystal Oaks
- Skilled Nursing Facility
- Festus, MO
- NPI 1841909694
Nursing home
-
dba Samaritan Hospital
- Critical Access Hospital
- Macon, MO
- NPI 1699714303
Nursing home
-
dba Fountainbleau Nursing Center
- Skilled Nursing Facility
- Festus, MO
- NPI 1356342695
Nursing home
-
dba Moberly Regional Medical Center
- General Acute Care Hospital
- Moberly, MO
- NPI 1770554305
-
dba SSM Health St. Mary's Hospital Jefferson City
- General Acute Care Hospital
- Jefferson City, MO
- NPI 1518065523
-
dba St Croix Hospice
- Community Based Hospice Care Agency
- Arnold, MO
- NPI 1174344725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789344000000",
"number": "1063932002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 W NIFONG BLVD STE 101",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652034469",
"telephone_number": "573-499-9009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 W NIFONG BLVD STE 120",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652035615",
"telephone_number": "573-444-6331",
"fax_number": "855-576-4137"
}
],
"practiceLocations": [
{
"address_1": "900 W Nifong Blvd Ste 101",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MO",
"postal_code": "652034469",
"country_code": "US",
"telephone_number": "573-499-9009",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1600 N Morley St",
"address_purpose": "LOCATION",
"city": "Moberly",
"state": "MO",
"postal_code": "652703666",
"country_code": "US",
"telephone_number": "660-372-9595",
"fax_number": "660-372-9596",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "612 N 11th St",
"address_purpose": "LOCATION",
"city": "Quincy",
"state": "IL",
"postal_code": "623012662",
"country_code": "US",
"telephone_number": "217-224-9484",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HABIBULLAH",
"first_name": "AYAAZ",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-21",
"last_updated": "2026-09-14",
"certification_date": "2026-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036154125",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "125071326",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2020019624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.