Habib Bolourchi, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

C10001853 Issued in DE

Practice address

18958 Coastal Highway
Rehobeth Beach, DE 19971

Phone

(302) 645-7672

NPI assigned

Mar 10, 2006

Last updated

Jan 4, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Delaware Plastic & Recon Surgery

  • Plastic Surgery Physician
  • Newark, DE
  • NPI 1073653317
  NPD (past)
• Henlopen Cardiology PA

  • Interventional Cardiology Physician
  • Seaford, DE
  • NPI 1689607665
  NPD (past)

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1326016858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18958 COASTAL HWY",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199716196",
            "telephone_number": "302-645-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18958 COASTAL HIGHWAY",
            "city": "REHOBETH BEACH",
            "state": "DE",
            "postal_code": "19971",
            "telephone_number": "302-645-7672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLOURCHI",
        "first_name": "HABIB",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "DE",
            "license": "C10001853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; 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.