Individual provider Active NPI

Shuruk Haib, M.D

  • Family Medicine Physician
  • Joplin, MO
National Provider Identifier
1124649033
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2023026694 Issued in MO
Practice address
2216 E 32ND St Ste 101
Joplin, MO 64804-3015
Phone
(417) 556-2780
Fax
(417) 556-2781
NPI assigned
May 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2023026694 MO Primary

Addresses

Primary practice location

2216 E 32ND St Ste 101
Joplin, MO 64804-3015

Mailing address

2216 E 32ND St Ste 101
Joplin, MO 64804-3015
Phone (417) 556-2780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20230808002511 MO Practitioner - Family Practice 0042672065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Joplin LLCGroup PAC ID 0547300196, 288 clinicians

Practice addresses (Care Compare)

2216 E 32ND St
102 Jplmc Senior Focused Care
Joplin, MO 64804-3015
Phone (417) 556-5230

Hospital & facility affiliations

  • Integrity Home Care + Hospice Home health agency, Springfield, MO, CCN 267576
  • Mercy Hospital Joplin Hospital, Joplin, MO, CCN 260001
  • Mercy Hospital Carthage Hospital, Carthage, MO, CCN 261338

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Joplin LLC Family Medicine CurrentSince Jul 15, 2023 Accepting new patients

Locations

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

2216 E 32nd St
Ste 102
Joplin, MO 64804
Phone (417) 556-5230

2216 E 32nd St
Ste 101
Joplin, MO 64804
Phone (417) 624-8730

Organizations & group practices 1

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 7

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": "1588291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1124649033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 E 32ND ST STE 101",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043015",
            "telephone_number": "417-556-2780",
            "fax_number": "417-556-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 E 32ND ST STE 101",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043015",
            "telephone_number": "417-556-2780",
            "fax_number": "417-556-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIB",
        "first_name": "SHURUK",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-01",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2023026694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.