Rolf Habersang, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

F3484 Issued in TX

Practice address

1400 S Coulter St
Amarillo, TX 79106-1786

Phone

(806) 414-9800

Fax

(806) 354-5689

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rolfhabersang@ttuhsc.allscriptsdirect.net
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Texas Tech University Health Sciences Center Amarillo

  • Family Medicine Physician
  • Amarillo, TX
  • NPI 1013942150
  Medicare reassignment NPD
• Texas Tech University Health Sciences Center

  • Pharmacy
  • Lubbock, TX
  • NPI 1609810977
  NPD
• Texas Tech University Health Sciences Center Amarillo

  • Surgery Physician
  • Amarillo, TX
  • NPI 1033144175
  NPD
• Texas Tech University Health Sciences Center Amarillo

  • Pediatrics Physician
  • Amarillo, TX
  • NPI 1386675940
  NPD
• Texas Tech University Health Sciences Center Amarillo

  • Physical Therapist
  • Amarillo, TX
  • NPI 1679841134
  NPD
• Amarillo Area Healthcare Specialist

  • Internal Medicine Physician
  • Amarillo, TX
  • NPI 1811024474
  NPD (past)
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1346254331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 WALLACE BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061708",
            "telephone_number": "806-414-9800",
            "fax_number": "806-354-5689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S COULTER ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061786",
            "telephone_number": "806-414-9800",
            "fax_number": "806-354-5689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABERSANG",
        "first_name": "ROLF",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "F3484",
            "primary": true
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "TX",
            "license": "F3484",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137261713",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137261711",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137261712",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "X7953",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100084610A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137161710",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Thomas Gwozdz, MD
• H2 Health and Rehabilitation Services, LLC
• Krystal Kay Haase, PHARM.D.
• Mark Richard Haase, PHARM.D.
• Pia Erika Habersang
• Terri Hackett, APRN
• Jon Luigi Haddad, M.D.
• Cami Lynn Haden
• Michael Hadley
• Michael Philip Hagan, M.D.

• Pediatrics Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.