Active NPI
Eyad Khabbaz, M.D.
- Specialist
- Punxsutawney, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 81 Hillcrest Dr
BP-4109
Punxsutawney, PA 15767-2605 - Phone
- (814) 938-4910
- Fax
- (814) 938-5461
- NPI assigned
- Aug 4, 2008
- Last updated
- Sep 12, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NU | Primary | |
| Otolaryngology Physician | 207Y00000X | 004294 | GA |
Addresses
Primary practice location
81 Hillcrest Dr
BP-4109
Punxsutawney, PA 15767-2605
Mailing address
81 Hillcrest Dr
Suite 2600
Punxsutawney, PA 15767-2605
Phone (814) 938-4910
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 311170846 | Other | UNIVERSITY EAR NOSE AND THROAT SPECIALISTS | |
| 207Y00000X | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 598-4865
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.9 of 100
- Quality
- 85.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1020 | WV | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Otolaryngology | Current | Accepting new patients |
Locations
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
600 Suncrest Town Centre Dr
Morgantown, WV 26505
Phone (304) 598-4279
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba University Health Associates
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
Otolaryngology
-
dba Crisis Support and Recovery Center
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bridgeport, WV
- NPI 1184606600
-
- General Acute Care Hospital
- Morgantown, WV
- NPI 1841271459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410480000000",
"number": "1417113085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 HILLCREST DR",
"address_2": "SUITE 2600",
"city": "PUNXSUTAWNEY",
"state": "PA",
"postal_code": "157672605",
"telephone_number": "814-938-4910",
"fax_number": "814-938-5461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 HILLCREST DR",
"address_2": "BP-4109",
"city": "PUNXSUTAWNEY",
"state": "PA",
"postal_code": "157672605",
"telephone_number": "814-938-4910",
"fax_number": "814-938-5461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHABBAZ",
"first_name": "EYAD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-04",
"last_updated": "2014-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "GA",
"license": "004294",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERSITY EAR NOSE AND THROAT SPECIALISTS",
"identifier": "311170846",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207Y00000X",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Punxsutawney, PA
- Kayla Rosemary Kerr, PA-C
- Janet Marie Keslar, CRNP
- Jennifer Keslar, CRNP
- Keystone Rehabilitation Systems Inc (Keystone Physical Therapy)
- Keystone Rehabilitation Systems, Inc. (NovaCare Rehabilitation)
- Khalaf & Khalaf Imaging LLP
- Mohammed Omar Kamal Khalaf Al-Tawil, M.D.
- Kamal Khalaf, MD
- Candi Lea Knox, NURSE PRACTITIONER
- Robert Kostok, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; 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.