Organization Active NPI

Michel Habashy, MD. P.a.

  • Endocrinology, Diabetes & Metabolism Physician
  • Lady Lake, FL
National Provider Identifier
1285829408
Registry record updated Aug 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
MICHEL HABASHY, MD. P.A.
Practice address
918 Rolling Acres Rd
Suite 6
Lady Lake, FL 32159-5027
Phone
(352) 259-9970
Fax
(352) 259-9971
NPI assigned
Sep 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2010

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

Authorized official

Name
Mr. Michel S Habashy, M.D.NPI 1437197860
Title
Owner
Phone
(352) 259-9970

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

918 Rolling Acres Rd
Suite 6
Lady Lake, FL 32159-5027

Mailing address

918 Rolling Acres Rd
Suite 6
Lady Lake, FL 32159-5027
Phone (352) 259-9970

Other identifiers 1

IdentifierTypeStateIssuer
13198OtherFLBCBSFLORIDA

Other names 1

  • Diabetes And Endocrinology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100831000410 FL Part B Supplier - Clinic/Group Practice 3274657044 Receives reassigned benefits from 1 practitioner
Practice locations: Lady Lake, FL

National Provider Directory

National Provider Directory

Locations

1135 Lake Ave
Clermont, FL 34711
Phone (352) 394-3195

920 Rolling Acres Rd
Unit 208
Lady Lake, FL 32159
Phone (352) 259-9970

918 Rolling Acres Rd
Ste 6
Lady Lake, FL 32159
Phone (352) 259-9970

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281312000000",
    "number": "1285829408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 ROLLING ACRES RD",
            "address_2": "SUITE 6",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321595027",
            "telephone_number": "352-259-9970",
            "fax_number": "352-259-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 ROLLING ACRES RD",
            "address_2": "SUITE 6",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321595027",
            "telephone_number": "352-259-9970",
            "fax_number": "352-259-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHEL HABASHY, MD. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2010-08-09",
        "status": "A",
        "authorized_official_last_name": "HABASHY",
        "authorized_official_first_name": "MICHEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-259-9970",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFLORIDA",
            "identifier": "13198",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diabetes And Endocrinology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lady Lake, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.