Mohamud B Habib

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

1166222100027 Issued in MN

Practice address

3402 Oakwood Mall Dr
200
Eau Claire, WI 54701

Phone

(612) 402-0211

NPI assigned

Aug 10, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mohamud Bana Habib Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Alta Habib Transportation

  • Secured Medical Transport (VAN)
  • Golden Valley, MN
  • NPI 1700497716
  NPD Authorized official

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777680000000",
    "number": "1154932507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3402 OAKWOOD MALL DR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547012807",
            "telephone_number": "612-402-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 OAKWOOD MALL DR",
            "address_2": "200",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "54701",
            "telephone_number": "612-402-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABIB",
        "first_name": "MOHAMUD",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-10",
        "last_updated": "2026-05-02",
        "certification_date": "2026-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MN",
            "license": "1166222100027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOHAMUD",
            "last_name": "HABIB",
            "middle_name": "BANA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erica Gyorfi, MCMSC, PA-C
• Barbara Haag, OT
• Maisy Haas, BS
• Autumn Paige Habas, DDS
• Gregory Allen Habben, DDS
• Rachel Lynn Hable, PT
• Thomas Hadley, MD
• Jennifer Hafele, IBCLC, CLC
• Molly Amanda Haferman, PHARMD
• Omar Yasser Elmahdy Hafz, MBBCH

• Non-emergency Medical Transport (VAN) in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Non-emergency Medical Transport (VAN) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.