Individual provider Active NPI

Ayaaz A Habibullah, MD

  • Family Medicine Physician
  • Columbia, MO
National Provider Identifier
1063932002
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2020019624 Issued in MO
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, MS3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20201014003836 MO Practitioner - Family Practice 5092081240 Reassigns benefits to 7 organizations
I20250904001733 IL Practitioner - Family Practice 5092081240 Reassigns benefits to 4 organizations
I20251215003831 MS Practitioner - Family Practice 5092081240 Reassigns benefits to 2 organizations

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.Group PAC ID 4486547148, shared by 4 NPIs, 37 clinicians
Macon County Samaritan HospitalGroup PAC ID 1456261395, 36 clinicians
Midwest Hospitalist Physicians LLPGroup PAC ID 9830487966, 56 clinicians
Macoupin Physician Services, PCGroup PAC ID 7416345947, 12 clinicians
Grenada Emergency Group, LLCGroup PAC ID 2163854225, 37 clinicians
Cole Physician Services LLCGroup PAC ID 0648420810, 23 clinicians
Grenada Physician Services, LLCGroup PAC ID 4284965773, 15 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036154125ILMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hannibal Regional Healthcare System Inc CurrentSince Jul 29, 2024 Accepting new patients
Macoupin Physician Services, PC Hospitalist CurrentSince Nov 1, 2025 Accepting new patients
Carlinville Area Hospital Association CurrentSince Sep 22, 2025 Accepting new patients
Hannibal Regional Healthcare System, Inc Current Accepting new patients
Cole Physician Services LLC Hospitalist CurrentSince Nov 1, 2024 Accepting new patients
Grenada Emergency Group, LLC Hospitalist CurrentSince Nov 1, 2025 Accepting new patients
Hillsboro Area Hospital, Inc. Current Accepting new patients
Prime Time Physicians, LLC Family Medicine CurrentSince Apr 1, 2024 Accepting new patients
Health-1 LLC Family Medicine CurrentSince Sep 4, 2024 Accepting new patients
Carlinville Area Hospital Association CurrentSince Sep 22, 2025 Accepting new patients
Hannibal Regional Healthcare System, Inc Family Medicine CurrentSince Jul 29, 2024 Accepting new patients
Macon County Samaritan Hospital CurrentSince May 29, 2024 Accepting new patients
Hillsboro Area Hospital, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Hillsboro Area Hospital, Inc. Hospitalist Current Accepting new patients
Midwest Hospitalist Physicians LLP Hospitalist CurrentSince Nov 5, 2025 Accepting new patients
Grenada Physician Services, LLC Hospitalist CurrentSince Oct 15, 2025 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

  • Direct secure messaging: ahabibullah524299@direct-ehr-ssmhc.com
  • Direct secure messaging: ayaazhabibullah@mhccaremail.com
  • FHIR API: https://fhir-usa.unify.chbase.com/org/carlin-6115abf3
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
  • FHIR API: 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.

FacilityTypeRoleSince
Fountainbleau Nursing CenterFestus, MO, CCN 265654 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Mar 1, 2025
Nov 10, 2025
Lutheran Nursing HomeConcordia, MO, CCN 265765 Skilled nursing facility Operational/Managerial Control Mar 1, 2025
St Louis AltenheimSaint Louis, MO, CCN 265892 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.

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.

View all 20

Hospital & facility affiliations 16

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

View all 16

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

Verify at the official NPI Registry.