NPIMap

Individual provider Active NPI

Taimur Habib, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Bridgeport, CT
National Provider Identifier
1083671861
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
055653 Issued in CT
Practice address
C/O Northeast Medical Group, Inc.
226 Mill Hill Ave., 3Rd Floor
Bridgeport, CT 06610-2826
Phone
(475) 319-6035
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 055653 CT Primary

Addresses

Primary practice location

C/O Northeast Medical Group, Inc.
226 Mill Hill Ave., 3Rd Floor
Bridgeport, CT 06610-2826

Mailing address

C/O Northeast Medical Group, Inc.
226 Mill Hill Ave., 3Rd Floor
Bridgeport, CT 06610-2826
Phone (475) 319-6035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, CT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101118001074 CA Practitioner - Internal Medicine 3375624505 Reassigns benefits to 1 organization
I20161006001129 CT Practitioner - Internal MedicinePractitioner - Geriatric Medicine 3375624505 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians
Rehabilitation Associates IncGroup PAC ID 8022905322, 525 clinicians
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

1505 Post Rd E
Suite 102
Westport, CT 06880-5512
Phone (203) 221-3830

1931 Black Rock Tpke
Fairfield, CT 06825-3506
Phone (203) 384-8681

267 Grant St
Bridgeport, CT 06610-2805
Phone (203) 384-3000

5 Perryridge Rd
Greenwich, CT 06830-4608
Phone (203) 863-3840

95 Armory Rd
Stratford, CT 06614-1702
Phone (203) 384-3388

Hospital & facility affiliations

  • Hartford Healthcare at Home Home health agency, East Hartford, CT, CCN 077041
  • Patient Care Home health agency, Trumbull, CT, CCN 077175
  • Hartford Healthcare at Home Hospice, East Hartford, CT, CCN 071507
  • Mozaic Hospice Hospice, Bridgeport, CT, CCN 071541
  • Greenwich Hospital Association - Hospital, Greenwich, CT, CCN 070018
  • Bridgeport Hospital Hospital, Bridgeport, CT, CCN 070010
  • St Vincent'S Medical Center Hospital, Bridgeport, CT, CCN 070028
  • Mozaic Senior Life Nursing home, Bridgeport, CT, CCN 075353
  • Lord Chamberlain Manor Nursing & Rehabilitation Ce Nursing home, Stratford, CT, CCN 075412
  • Lord Chamberlain Nursing & Rehabilitation Center Nursing home, Stratford, CT, CCN 075339

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
055653CTMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greenwich Hospital CurrentSince May 1, 2019 Accepting new patients
Quantum Bay Area Hospitalist Medical Group Inc CurrentSince Jan 1, 2016 Accepting new patients
Northeast Medical Group, Inc. CurrentSince Sep 6, 2016 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jul 18, 2022 Accepting new patients
Greenwich Hospital CurrentSince May 1, 2019 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Jul 18, 2022 Accepting new patients
El Camino Health Medical Network, LLC Past Accepting new patients
Quantum Healthcare Medical Associates Inc. Family Medicine Past Accepting new patients

Locations

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

226 Mill Hill Ave
Ste 3
Bridgeport, CT 06610
Phone (203) 384-3394

4920 Main St
Ste 302
Bridgeport, CT 06606
Phone (475) 210-4960

22 Pine St
Bristol, CT 06010
Phone (860) 229-8346

5 Perryridge Rd
Greenwich, CT 06830
Phone (203) 661-5330

789 Howard Ave
North Haven, CT 06519
Phone (203) 688-2471

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

7003 Main St
Stratford, CT 06614
Phone (203) 375-5894

1505 Post Rd E
Ste 102
Westport, CT 06880
Phone (203) 221-3830

Interoperability endpoints

  • Direct secure messaging: thabib346214@direct.ynhh.org
  • Direct secure messaging: taimur.habib@xdr.hhchealthdirect.org

Organizations & group practices 10

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.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1083671861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C/O NORTHEAST MEDICAL GROUP, INC.",
            "address_2": "226 MILL HILL AVE., 3RD FLOOR",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066102826",
            "telephone_number": "475-319-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C/O NORTHEAST MEDICAL GROUP, INC.",
            "address_2": "226 MILL HILL AVE., 3RD FLOOR",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066102826",
            "telephone_number": "475-319-6035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABIB",
        "first_name": "TAIMUR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CT",
            "license": "055653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.