Individual provider Active NPI

Robert S. Haber, M.D.

  • Dermatology Physician
  • Beachwood, OH
National Provider Identifier
1346233160
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35064474 Issued in OH
Practice address
26949 Chagrin Blvd
#300
Beachwood, OH 44122-4278
Phone
(216) 932-5200
Fax
(216) 932-5212
NPI assigned
Aug 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 35064474 OH Primary

Addresses

Primary practice location

26949 Chagrin Blvd
#300
Beachwood, OH 44122-4278

Mailing address

26949 Chagrin Blvd
#300
Beachwood, OH 44122-4278
Phone (216) 932-5200

Other identifiers 1

IdentifierTypeStateIssuer
0123182MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20120125000483 OH Practitioner - DermatologyPractitioner - Pediatric Medicine 5799702841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Pediatric Medicine
Education
Albany Medical College of Union University, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Haber Dermatology IncGroup PAC ID 4981621034, 2 clinicians

Practice addresses (Care Compare)

26949 Chagrin Blvd
Suite 300
Beachwood, OH 44122-4230
Phone (216) 932-5200

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions621
Removal or shaving of skin growth1-10
Skin biopsy142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35064474OHMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Dermatologists Inc Dermatology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rhaber220571@ehrdirect.uhhospitals.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422489600000",
    "number": "1346233160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26949 CHAGRIN BLVD",
            "address_2": "#300",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224278",
            "telephone_number": "216-932-5200",
            "fax_number": "216-932-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26949 CHAGRIN BLVD",
            "address_2": "#300",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224278",
            "telephone_number": "216-932-5200",
            "fax_number": "216-932-5212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABER",
        "first_name": "ROBERT",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2015-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35064474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0123182",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.