Individual provider Active NPI

Irving I. Haber, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Terre Haute, IN
National Provider Identifier
1144227596
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
02001435 Issued in IN
Practice address
1818 N 3Rd St
Terre Haute, IN 47804-4041
Phone
(812) 478-9494
Fax
(812) 478-9393
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Customized Equipment (DME) 332BC3200X
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 02001435 IN Primary

Addresses

Primary practice location

1818 N 3Rd St
Terre Haute, IN 47804-4041

Mailing address

1818 N 3Rd St
Terre Haute, IN 47804-4041
Phone (812) 478-9494

Other identifiers 3

IdentifierTypeStateIssuer
200350460AMedicaidIN
000000089341OtherINBC/BS PROVIDER NUMBER
0638910001OtherINMEDICARE NSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20100929000448 IN Practitioner - Physical Medicine and RehabilitationPractitioner - Osteopathic Manipulative MedicinePractitioner - Pain ManagementPractitioner - Addiction Medicine 3971629700 Practice locations: Terre Haute, IN
O20100930087627 IN DME Supplier - Physician - Osteopathic Manipulative MedicineDME Supplier - Independently-Practicing Physical Therapist 9032238548 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Terre Haute, IN

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Addiction Medicine, Osteopathic Manipulative Medicine, Pain Management
Education
Other, 1989
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1818 N 3Rd St
Terre Haute, IN 47804-4041
Phone (812) 478-9494

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
47.34 of 100Reported as group
Quality
1.72
Promoting interoperability
100
Improvement activities
0
Cost
65.79

Merit-based Incentive Payment System (MIPS)

Final score
83.98 of 100Reported as individual
Quality
58.64
Improvement activities
40
Cost
68.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02001435INMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John Barton, LPT PastSince Jul 12, 1993 Accepting new patients

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 8

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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1144227596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 N 3RD ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478044041",
            "telephone_number": "812-478-9494",
            "fax_number": "812-478-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 N 3RD ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478044041",
            "telephone_number": "812-478-9494",
            "fax_number": "812-478-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABER",
        "first_name": "IRVING",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "IN",
            "license": "02001435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200350460A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NUMBER",
            "identifier": "000000089341",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "0638910001",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.