Active NPI
Ayaz Ahmed Habib, DPM
- Foot & Ankle Surgery Podiatrist
- Brockport, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- N006595-1
- Practice address
- 6565 4TH Section Rd
Suite 700
Brockport, NY 14420-2414 - Phone
- (585) 473-5051
- NPI assigned
- Jan 13, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 6595 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | N006595-1 | NY | Primary |
Addresses
Primary practice location
6565 4TH Section Rd
Suite 700
Brockport, NY 14420-2414
Mailing address
2225 Clinton Ave S
Rochester, NY 14618-2664
Phone (585) 473-5051
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ahabib111171@direct.urmc.rochester.edu | Direct | |
| Direct Messaging Address | ahabib111171@direct.urmc.rochester.edu | Direct |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2225 Clinton Ave S
Rochester, NY 14618-2664
Phone (585) 473-5051
Hospital & facility affiliations
- Strong Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 27 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1760 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6595 | NY | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Orthopaedic Associates of Rochester | Current | Accepting new patients | |
| University Orthopaedic Associates of Rochester | Current | Accepting new patients |
Locations
156 West Ave
Brockport, NY 14420
Phone (585) 395-6095
2300 W Ridge Rd
Ste 202
Rochester, NY 14626
Phone (585) 723-3630
601 Elmwood Ave
#665
Rochester, NY 14642
Phone (585) 275-5168
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
2225 S Clinton Ave
Rochester, NY 14618
Phone (585) 473-5051
Interoperability endpoints
- ahabib111171@direct.urmc.rochester.edu
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.
-
- Specialist
- Rochester, NY
- NPI 1346251758
-
- Durable Medical Equipment & Medical Supplies
- Dansville, NY
- NPI 1912720152
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1346285657
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1669126090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1376848960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2225 CLINTON AVE S",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146182664",
"telephone_number": "585-473-5051",
"fax_number": "585-473-3033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6565 4TH SECTION RD",
"address_2": "SUITE 700",
"city": "BROCKPORT",
"state": "NY",
"postal_code": "144202414",
"telephone_number": "585-473-5051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HABIB",
"first_name": "AYAZ",
"middle_name": "AHMED",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-13",
"last_updated": "2023-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "NY",
"license": "6595",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NY",
"license": "N006595-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ahabib111171@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ahabib111171@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brockport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.