Ayaaz A Habibullah, MD

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

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

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, 37 clinicians

Macon County Samaritan HospitalGroup PAC ID 1456261395, 36 clinicians

Midwest Hospitalist Physicians LLPGroup PAC ID 9830487966, 56 clinicians

Hannibal Regional Healthcare System IncGroup PAC ID 1254236300, 256 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)

Hospital & facility affiliations

• Acg Hospice Hospice, Columbia, MO, CCN 261704
• St Croix Hospice Hospice, Arnold, MO, CCN 261716
• Acg Hospice Hospice, Lee'S Summit, MO, CCN 261703
• SSM Health St. Mary'S Hospital - Jefferson City Hospital, Jefferson City, MO, CCN 260011
• Boone Hospital Center Hospital, Columbia, MO, CCN 260068
• Hillsboro Area Hospital Hospital, Hillsboro, IL, CCN 141332
• Carlinville Area Hospital Hospital, Carlinville, IL, CCN 141347
• Moberly Regional Medical Center Hospital, Moberly, MO, CCN 260074
• Lutheran Nursing Home Nursing home, Concordia, MO, CCN 265765
• Fountainbleau Nursing Center Nursing home, Festus, MO, CCN 265654
• Crystal Oaks Nursing home, Festus, MO, CCN 265369
• St Louis Altenheim Nursing home, Saint Louis, MO, CCN 265892
• Macon County Samaritan Memorial Hospital Nursing home, CCN 26Z313

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CGGEDD/Endpoint/CGGEDD
• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
• Direct secure messaging: ayaazhabibullah@mhccaremail.com
• FHIR API: https://fhir-usa.unify.chbase.com/org/carlin-6115abf3
• Direct secure messaging: ahabibullah524299@direct-ehr-ssmhc.com

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Malik Corporation

  • Skilled Nursing Facility
  • Festus, MO
  • NPI 1356342695

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Malik St Louis LLC

  • Skilled Nursing Facility
  • St Louis, MO
  • NPI 1295467306

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Western Missouri Nursing and Rehab LLC

  • Skilled Nursing Facility
  • Concordia, MO
  • NPI 1851091656

  Operational/Managerial Control

  CMS ownership

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.

• Cole Physician Services LLC

  • Hospitalist Physician
  • Jefferson City, MO
  • NPI 1144578659

  MO

  Medicare reassignment Care Compare group NPD
• Hannibal Regional Healthcare System, Inc

  • Multi-Specialty Clinic/Center
  • Hannibal, MO
  • NPI 1134311392

  MO

  Medicare reassignment Care Compare group NPD
• Macon County Samaritan Hospital

  • Critical Access Hospital
  • Macon, MO
  • NPI 1548215106

  MO

  Medicare reassignment Care Compare group NPD
• Prime Time Physicians, LLC

  • Family Medicine Physician
  • Moberly, MO
  • NPI 1215787700

  Family Medicine, MO

  Medicare reassignment NPD Authorized official
• Grenada Emergency Group, LLC

  • Emergency Medicine Physician
  • Grenada, MS
  • NPI 1194388082

  MS

  Medicare reassignment Care Compare group NPD
• Grenada Physician Services, LLC

  • Hospitalist Physician
  • Grenada, MS
  • NPI 1932762721

  MS

  Medicare reassignment Care Compare group NPD
• Hillsboro Area Hospital, Inc.

  • Critical Access Hospital
  • Hillsboro, IL
  • NPI 1194705210

  IL

  Medicare reassignment Care Compare group NPD
• Hillsboro Area Hospital, Inc.

  • Hospitalist Physician
  • Hillsboro, IL
  • NPI 1821078213

  IL

  Medicare reassignment Care Compare group NPD
• Macoupin Physician Services, PC

  • Hospitalist Physician
  • Carlinville, IL
  • NPI 1013686302

  IL

  Medicare reassignment Care Compare group NPD
• Midwest Hospitalist Physicians LLP

  • Hospitalist Physician
  • Lima, OH
  • NPI 1891242319

  MO

  Medicare reassignment Care Compare group NPD
• Health-1 LLC

  • Family Medicine Physician
  • Columbia, MO
  • NPI 1396591202

  Family Medicine, MO

  Medicare reassignment NPD
• Carlinville Area Hospital Association

  • Critical Access Hospital
  • Carlinville, IL
  • NPI 1053425124

  IL

  Medicare reassignment NPD

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

• Acg Missouri Central, LLC

  • Community Based Hospice Care Agency
  • Columbia, MO
  • NPI 1255025953

  Hospice

  Care Compare affiliation
• Acg Missouri West, LLC

  • Community Based Hospice Care Agency
  • Lees Summit, MO
  • NPI 1922792621

  Hospice

  Care Compare affiliation
• CH Allied Services, Inc

  • Cardiac Rehabilitation Clinic/Center
  • Columbia, MO
  • NPI 1548734734

  Hospital

  Care Compare affiliation
• CH Allied Services, Inc.

  • General Acute Care Hospital
  • Columbia, MO
  • NPI 1902817844

  Hospital

  Care Compare affiliation
• Crystal Oaks Nursing and Rehab LLC

  • Skilled Nursing Facility
  • Festus, MO
  • NPI 1841909694

  Nursing home

  Care Compare affiliation
• Macon County Samaritan Hospital

  • Critical Access Hospital
  • Macon, MO
  • NPI 1548215106

  Nursing home

  Care Compare affiliation
• Macon County Samaritan Hospital

  • Critical Access Hospital
  • Macon, MO
  • NPI 1699714303

  Nursing home

  Care Compare affiliation
• Malik Corporation

  • Skilled Nursing Facility
  • Festus, MO
  • NPI 1356342695

  Nursing home

  Care Compare affiliation
• Malik St Louis LLC

  • Skilled Nursing Facility
  • St Louis, MO
  • NPI 1295467306

  Nursing home

  Care Compare affiliation
• Moberly Hospital Company LLC

  • General Acute Care Hospital
  • Moberly, MO
  • NPI 1770554305

  Hospital

  Care Compare affiliation
• SSM Regional Health Services

  • General Acute Care Hospital
  • Jefferson City, MO
  • NPI 1518065523

  Hospital

  Care Compare affiliation
• STCH Eastern Mo Opco LLC

  • Community Based Hospice Care Agency
  • Arnold, MO
  • NPI 1174344725

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "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": "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"
        },
        {
            "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"
        }
    ],
    "basic": {
        "last_name": "HABIBULLAH",
        "first_name": "AYAAZ",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-21",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "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": []
}

• Steven J. Haas, MD
• Amanda Haase, PHARMD
• Douglas Reed Haase, M.D.
• Michael Habhab, MD
• Mustafa J Habib, MD
• Haby Peace at Home LLC
• Karen Cavender Hackmann, GCNS
• Payton Scot Hackmann, FNP-C
• Oe Suk Hackney, ACNPC-AG
• Tina Haden

• All providers in Columbia, MO
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.

Verify at the official NPI Registry.