Individual provider Active NPI

Michael Farouk Habashy, MD

  • Nephrology Physician
  • Burbank, CA
National Provider Identifier
1073618633
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A83772 Issued in CA
Practice address
2625 W Alameda Ave
Suit # 516
Burbank, CA 91505-4806
Phone
(818) 729-9111
Fax
(818) 729-9992
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A83772 CA
Nephrology Physician 207RN0300X A83772 CA Primary

Addresses

Primary practice location

2625 W Alameda Ave
Suit # 516
Burbank, CA 91505-4806

Mailing address

2625 W Alameda Ave
Suit Ave 516
Burbank, CA 91505-4806
Phone (818) 729-9111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20070705000549 CA Practitioner - NephrologyPractitioner - Internal Medicine 6002916061 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A83772CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cognacare Neurologic, Inc CurrentSince Sep 1, 2025 Accepting new patients
Dignity Health Past Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients
Kyrillos Medical Group,Inc Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients

Locations

1451 E Chevy Chase Dr
Ste 201
Glendale, CA 91206
Phone (818) 265-2245

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1073618633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 W ALAMEDA AVE",
            "address_2": "SUIT AVE 516",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054806",
            "telephone_number": "818-729-9111",
            "fax_number": "818-729-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 W ALAMEDA AVE",
            "address_2": "SUIT # 516",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054806",
            "telephone_number": "818-729-9111",
            "fax_number": "818-729-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABASHY",
        "first_name": "MICHAEL",
        "middle_name": "FAROUK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A83772",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A83772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.