Individual provider Active NPI

Wissam Jean Halabi, M.D

  • Surgery Physician
  • Sacramento, CA
National Provider Identifier
1255505053
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
122307 Issued in CA
Practice address
221 Stockton Blvd.
UC Davis Medical Center
Sacramento, CA 95817-1418
Phone
(214) 820-2362
Fax
(214) 820-7272
NPI assigned
Apr 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 122307 CA
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X 122307 CA Primary

Addresses

Primary practice location

221 Stockton Blvd.
UC Davis Medical Center
Sacramento, CA 95817-1418

Mailing address

2221 Stockton Blvd. Room 3104
UC Davis Medical Center
Sacramento, CA 95817-1418
Phone (916) 734-3229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20170908000991 CA Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 5799058004 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sierra Medical PartnershipGroup PAC ID 7810321858, 18 clinicians
Enloe Medical CenterGroup PAC ID 9739092388, shared by 18 NPIs, 330 clinicians

Practice addresses (Care Compare)

1625 Creekside Dr
Suite 200
Folsom, CA 95630-3819
Phone (916) 365-9590

2 Governors LN a
Chico, CA 95926-6300
Phone (530) 891-4523

251 Cohasset Rd
Chico, CA 95926-2241
Phone (530) 332-5151

Hospital & facility affiliations

  • Enloe Health Hospital, Chico, CA, CCN 050039
  • Mercy Hospital of Folsom Hospital, Folsom, CA, CCN 050414
  • Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309
  • Oroville Hospital Hospital, Oroville, CA, CCN 050030
  • Mercy San Juan Medical Center Hospital, Carmichael, CA, CCN 050516

Merit-based Incentive Payment System (MIPS)

Final score
81.49 of 100Reported as group
Quality
60.52
Promoting interoperability
100
Improvement activities
40
Cost
68.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy128
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
122307CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Enloe Medical Center CurrentSince May 1, 2021 Accepting new patients
Regents of the University of California CurrentSince Mar 1, 2018 Accepting new patients
Sierra Medical Partnership Surgery CurrentSince May 1, 2025 Accepting new patients
Regents of the University of California CurrentSince Mar 1, 2018 Accepting new patients
Enloe Medical Center Surgery CurrentSince May 1, 2021 Accepting new patients
Regents of the Univ of Ca CurrentSince Aug 14, 2017 Accepting new patients
Enloe Medical Center CurrentSince May 16, 2022 Accepting new patients
Sierra Medical Partnership Surgery CurrentSince May 1, 2025 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Regents of the Univ of Ca Surgery CurrentSince Aug 14, 2017 Accepting new patients
Enloe Medical Center Past Accepting new patients
Enloe Medical Center Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients

Locations

275 Grass Valley Hwy
Auburn, CA 95603
Phone (530) 885-0344

2 Governors Ln
Ste A
Chico, CA 95926
Phone (530) 891-4523

888 Lakeside Vlg Cmns
Chico, CA 95928
Phone (530) 332-6800

251 Cohasset Rd
Chico, CA 95926
Phone (530) 332-3980

1625 Creekside Dr
Ste 200
Folsom, CA 95630
Phone (916) 250-2596

1580 Creekside Dr
Ste 130
Folsom, CA 95630
Phone (916) 542-1458

550 W Ranch View Dr
Rocklin, CA 95765
Phone (916) 295-5700

584 N Sunrise Ave
Ste 100
Roseville, CA 95661
Phone (916) 250-2596

2221 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-2680

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

2221 Stockton Blvd
Rm 3104
Sacramento, CA 95817

3939 J St
Ste 330
Sacramento, CA 95819
Phone (916) 290-9003

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

Interoperability endpoints

  • Direct secure messaging: wissam.halabi.1@21842.direct.athenahealth.com
  • Direct secure messaging: whalabi60079@enloedirect.org
  • Direct secure messaging: whalabi259395@direct.sw.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

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": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1255505053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 STOCKTON BLVD. ROOM 3104",
            "address_2": "UC DAVIS MEDICAL CENTER",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171418",
            "telephone_number": "916-734-3229",
            "fax_number": "916-734-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 STOCKTON BLVD.",
            "address_2": "UC DAVIS MEDICAL CENTER",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171418",
            "telephone_number": "214-820-2362",
            "fax_number": "214-820-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALABI",
        "first_name": "WISSAM",
        "middle_name": "JEAN",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "CA",
            "license": "122307",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "122307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.