NPIMap

Individual provider Active NPI

Michael Habliston

  • Physician Assistant
  • Lone Tree, CO
National Provider Identifier
1376259820
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085-009497 Issued in IL
Practice address
10535 Park Meadows Blvd Ste 301
Lone Tree, CO 80124-8456
Phone
(303) 662-8250
Fax
(303) 622-8249
NPI assigned
Jan 27, 2023
Last updated
Jul 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085-009497 IL Primary

Addresses

Primary practice location

10535 Park Meadows Blvd Ste 301
Lone Tree, CO 80124-8456

Mailing address

900 Rand Rd Ste 300
Des Plaines, IL 60016-2359
Phone (847) 324-3976

Other practice location 1

350 S Greenleaf St Ste 405
Gurnee, IL 60031-5709
Phone (847) 336-3335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230303001458 IL Practitioner - Physician Assistant 5193198604 Reassigns benefits to 1 organization
I20250626000982 CO Practitioner - Physician Assistant 5193198604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Rocky Vista University College of Osteopathic Med, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Orthopaedics PCGroup PAC ID 6901077346, 4 clinicians

Practice addresses (Care Compare)

10535 Park Meadows Blvd
Suite 301
Lone Tree, CO 80124-8456
Phone (303) 662-8250

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.07 of 100Reported as group
Quality
76.54
Promoting interoperability
83
Improvement activities
40
Cost
74.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085-009497ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Orthopaedics PC PastSince Aug 17, 2025 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16409/brand/1/csg/1/fhir/r4
  • Direct secure messaging: michael.habliston.1@16409.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1376259820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 RAND RD STE 300",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162359",
            "telephone_number": "847-324-3976",
            "fax_number": "847-929-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10535 PARK MEADOWS BLVD STE 301",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801248456",
            "telephone_number": "303-662-8250",
            "fax_number": "303-622-8249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 S Greenleaf St Ste 405",
            "address_purpose": "LOCATION",
            "city": "Gurnee",
            "state": "IL",
            "postal_code": "600315709",
            "country_code": "US",
            "telephone_number": "847-336-3335",
            "fax_number": "847-336-3249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HABLISTON",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-27",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085-009497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

Verify at the official NPI Registry.