Individual provider Active NPI

Louis S Habryl, DO

  • Orthopaedic Surgery Physician
  • Gaylord, MI
National Provider Identifier
1427033976
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
5101008504 Issued in MI
Practice address
2147 Professional Dr
Gaylord, MI 49735-0003
Phone
(989) 732-1753
Fax
(989) 731-1425
NPI assigned
Dec 7, 2005
Last updated
Dec 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 5101008504 MI Primary

Addresses

Primary practice location

2147 Professional Dr
Gaylord, MI 49735-0003

Mailing address

829 N Center Ave
Suite 298
Gaylord, MI 49735-1595
Phone (989) 731-7708

Other identifiers 3

IdentifierTypeStateIssuer
1915384MedicaidMI
0F96004OtherMIGROUP MEDICARE ID NUMBER
C20677OtherMIRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address louis.habryl@omhmedicalgroup.directbygreenway.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20050202000086 MI Practitioner - Orthopedic Surgery 3476445156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Chicago College of Medicine and Surgery, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2147 Professional Dr
Gaylord, MI 49735-0003
Phone (989) 732-1753

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101008504MIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Sep 2, 2008 Accepting new patients
Munson Healthcare Otsego Memorial Hospital Current Accepting new patients
Munson Healthcare Otsego Memorial Hospital Current Accepting new patients
Munson Healthcare Otsego Memorial Hospital Current Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Sep 2, 2008 Accepting new patients
Munson Healthcare Otsego Memorial Hospital Orthopaedic Surgery Current Accepting new patients
Petoskey Surgeons, P.C. Past Accepting new patients
N'Orthopedics PC Orthopaedic Surgery PastSince Jan 1, 1982 Accepting new patients

Locations

2147 Professional Dr
Gaylord, MI 49735
Phone (989) 732-1400

701 N Otsego Ave
Gaylord, MI 49735
Phone (517) 732-1753

825 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

829 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

829 N Center Ave
Ste 298
Gaylord, MI 49735
Phone (989) 731-7707

1619 Anderson Rd
Petoskey, MI 49770
Phone (231) 417-6000

Interoperability endpoints

  • Direct secure messaging: lhabryl@direct.mhc.net

Organizations & group practices 8

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 2

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": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1427033976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 N CENTER AVE",
            "address_2": "SUITE 298",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351595",
            "telephone_number": "989-731-7708",
            "fax_number": "989-731-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2147 PROFESSIONAL DR",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497350003",
            "telephone_number": "989-732-1753",
            "fax_number": "989-731-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABRYL",
        "first_name": "LOUIS",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5101008504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1915384",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE ID NUMBER",
            "identifier": "0F96004",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "C20677",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "louis.habryl@omhmedicalgroup.directbygreenway.com",
            "affiliation": "N",
            "address_1": "2147 Professional Dr",
            "city": "Gaylord",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497350003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gaylord, MI

Sources for this page

Verify at the official NPI Registry.