Active NPI
Kim Haberer, MD
- Pediatric Cardiology Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- 131827
- Practice address
- 3415 Bainbridge Ave
Bronx, NY 10467-2403 - Phone
- (718) 741-2387
- NPI assigned
- Jul 31, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | 131827 | CA | Primary |
Addresses
Primary practice location
3415 Bainbridge Ave
Bronx, NY 10467-2403
Mailing address
8440 112 St NW,
Edmonton, ALBERTA T6G 2B7
CA
Other practice location 1
505 Parnassus Ave
Moffitt Room 1235, Box 0544
San Francisco, CA 94143-0544
Phone (415) 476-1802
Other practice location 2
8440n 112 St NW
Edmonton, Alberta T6G 2B7
CA
Phone (647) 640-0443
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
700 Hicksville Rd
Bethpage, NY 11714-3471
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Quarry Road Emergency Services P.C. | Past | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
4487 3rd Ave
Bronx, NY 10457
Phone (718) 960-3730
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
26901 76th Ave
New Hyde Park, NY 11040
Phone (718) 470-3000
1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650
300 Community Dr
Plandome, NY 11030
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Interoperability endpoints
- khaberer67662@northwell.direct-ci.com
- khaberer1677469@nychhc.direct-ci.com
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Emergency Medicine Physician
- Bronx, NY
- NPI 1134238199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624406400000",
"number": "1306254594",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "8440 112 ST NW,",
"city": "EDMONTON",
"state": "ALBERTA",
"postal_code": "T6G 2B7"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3415 BAINBRIDGE AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104672403",
"telephone_number": "718-741-2387"
}
],
"practiceLocations": [
{
"address_1": "505 Parnassus Ave",
"address_2": "Moffitt Room 1235, Box 0544",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941430544",
"country_code": "US",
"telephone_number": "415-476-1802",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8440n 112 St NW",
"address_purpose": "LOCATION",
"city": "Edmonton",
"state": "Alberta",
"postal_code": "T6G 2B7",
"country_code": "CA",
"telephone_number": "647-640-0443",
"country_name": "Canada",
"address_type": "FGN"
}
],
"basic": {
"last_name": "HABERER",
"first_name": "KIM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-31",
"last_updated": "2021-06-23",
"certification_date": "2021-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "CA",
"license": "131827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.