Individual provider Active NPI

Michel S Habashy

  • Specialist
  • Lady Lake, FL
National Provider Identifier
1437197860
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME77064 Issued in FL
Practice address
918 Rolling Acres Rd
Suite #6
Lady Lake, FL 32159
Phone
(352) 259-9970
Fax
(352) 259-9971
NPI assigned
Jun 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME77064 FL Primary

Addresses

Primary practice location

918 Rolling Acres Rd
Suite #6
Lady Lake, FL 32159

Mailing address

920 Rolling Acres Rd
Unit 208
Lady Lake, FL 32159-5029
Phone (352) 259-9970

Other identifiers 1

IdentifierTypeStateIssuer
13198OtherFLBCBSFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100831000462 FL Practitioner - Endocrinology 3971627746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

920 Rolling Acres Rd
Unit 208
Lady Lake, FL 32159-5029
Phone (352) 259-9970

Hospital & facility affiliations

  • Orlando Health South Lake Hospital Hospital, Clermont, FL, CCN 100051

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michel Habashy, MD. P.a. Single Specialty CurrentSince Jul 1, 2002 Accepting new patients

Locations

918 Rolling Acres Rd
Ste 6
Lady Lake, FL 32159
Phone (352) 259-9970

920 Rolling Acres Rd
Unit 208
Lady Lake, FL 32159
Phone (352) 259-9970

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1437197860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 ROLLING ACRES RD",
            "address_2": "UNIT 208",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321595029",
            "telephone_number": "352-259-9970",
            "fax_number": "352-259-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 ROLLING ACRES RD",
            "address_2": "SUITE #6",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "32159",
            "telephone_number": "352-259-9970",
            "fax_number": "352-259-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABASHY",
        "first_name": "MICHEL",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME77064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "13198",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lady Lake, FL

Sources for this page

Verify at the official NPI Registry.