NPIMap

Individual provider Active NPI

Arif Habib, MD

  • Psychiatry Physician
  • Granite City, IL
National Provider Identifier
1215912977
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
336.062826 Issued in IL
Practice address
2120 Madison Ave
Ste 404
Granite City, IL 62040
Phone
(618) 876-7515
Fax
(618) 876-7596
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 14

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.

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Other, 1988
Medicare assignment
May accept Medicare assignment
Group practices
Mid-America Psychiatric Consultants LLC 2 clinicians
Centerstone of Illinois Inc 44 clinicians
Chestnut Health Systems Inc 31 clinicians

Practice addresses (Care Compare)

2120 Madison Ave
Suite 404
Granite City, IL 62040-4749
Phone (618) 876-7515

403 Municipal Dr
Carterville, IL 62918-2042
Phone (855) 608-3561

50 Northgate Industrial Dr
Granite City, IL 62040-6805
Phone (618) 877-4420

522 N New Ballas Rd
Suite 334
Saint Louis, MO 63141-6840

6651 Chippewa St
Suite 305
Saint Louis, MO 63109-2532
Phone (314) 989-0542

902 W Main
West Frankfort, IL 62896-2210

902 W Main St
West Frankfort, IL 62896-2210
Phone (618) 937-6483

Hospital & facility affiliations

  • Gateway Regional Medical Center Hospital, Granite City, IL, CCN 140125
  • Alton Memorial Hospital Hospital, Alton, IL, CCN 140002

Merit-based Incentive Payment System (MIPS)

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20060308000427 IL Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 8426065939 Reassigns benefits to 3 organizations
I20121025000474 MO Practitioner - Psychiatry 8426065939 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
336.062826ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chestnut Health Systems Inc CurrentSince May 1, 2007 Accepting new patients
Centerstone of Illinois, Inc CurrentSince Dec 1, 2015 Accepting new patients
Chestnut Health Systems Inc. CurrentSince May 1, 2007 Accepting new patients
Centerstone of Illinois, Inc CurrentSince Dec 1, 2015 Accepting new patients
American Healthcare Systems Illinois LLC Past Accepting new patients
American Healthcare Systems Illinois LLC Past Accepting new patients
Physician Services Corporation of Southern Illinois Inc. PastSince Jul 1, 2014 Accepting new patients
Chestnut Health Systems, Inc Past Accepting new patients

Locations

2615 Edwards St
Alton, IL 62002
Phone (618) 462-2331

1003 Martin Luther King Dr
Bloomington, IL 61701
Phone (309) 827-6026

720 W Chestnut St
Bloomington, IL 61701
Phone (309) 557-1400

50 Northgate Industrial Dr
Granite City, IL 62040
Phone (618) 512-1919

902 W Main St
West Frankfort, IL 62896
Phone 6189376483 ext. 7565

337 E Ferguson Ave
Wood River, IL 62095
Phone (618) 251-4073

Interoperability endpoints

  • Direct secure messaging: ahabib@yourcarecommunity.org
  • Direct secure messaging: arif.habibmd.p30@direct.fhn-fqhc.nextgenshare.com

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 336.062826 IL Primary
Psychiatry Physician 2084P0800X 119759 MO
Psychiatry Physician 2084P0800X 036101209 IL

Addresses

NPPES NPI Registry

Primary practice location

2120 Madison Ave
Ste 404
Granite City, IL 62040

Mailing address

2120 Madison Ave
Ste 404
Granite City, IL 62040
Phone (618) 876-7515

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
036101209MedicaidIL
204759831MedicaidMO

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 14, 2019.

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1215912977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 MADISON AVE",
            "address_2": "STE 404",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "62040",
            "telephone_number": "618-876-7515",
            "fax_number": "618-876-7596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 MADISON AVE",
            "address_2": "STE 404",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "62040",
            "telephone_number": "618-876-7515",
            "fax_number": "618-876-7596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABIB",
        "first_name": "ARIF",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "336.062826",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "119759",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036101209",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036101209",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204759831",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Granite City, IL

Sources for this page

Verify at the official NPI Registry.