NPIMap

Individual provider Active NPI

Habib Kareem

  • Surgical Assistant
  • Melbourne, FL
National Provider Identifier
1174064075
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
11-153 Issued in FL
Practice address
1600 Sarno Rd
Suite 15
Melbourne, FL 32935-4938
Phone
(615) 345-5400
Fax
(888) 468-6511
NPI assigned
Mar 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 11-153 FL Primary

Addresses

Primary practice location

1600 Sarno Rd
Suite 15
Melbourne, FL 32935-4938

Mailing address

3100 W End Ave
Suite 800
Nashville, TN 37203-1320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11-153FLMDSurgical Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Remote Neuromonitoring Physicians ,PC Past Accepting new patients
Specialtycare Surgical Assist, LLC Past Accepting new patients
Sentient Physicians, P.C. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1174064075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 W END AVE",
            "address_2": "SUITE 800",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SARNO RD",
            "address_2": "SUITE 15",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329354938",
            "telephone_number": "615-345-5400",
            "fax_number": "888-468-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAREEM",
        "first_name": "HABIB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "11-153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.