Individual provider Active NPI

Antoine George Habre, MD

  • Pulmonary Disease Physician
  • Wytheville, VA
National Provider Identifier
1457439788
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
0101240438 Issued in VA
Practice address
590 W Ridge Rd
Ste I
Wytheville, VA 24382-1094
Phone
(276) 228-8800
Fax
(276) 228-8808
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 0101240438 VA Primary

Addresses

Primary practice location

590 W Ridge Rd
Ste I
Wytheville, VA 24382-1094

Mailing address

590 W Ridge Rd
Suite I
Wytheville, VA 24382-1094
Phone (276) 228-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20070221000318 VA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Other (Physician)Practitioner - Critical Care (Intensivists) 1254378052

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmont Physician Services Inc Pulmonary Disease Past Accepting new patients
Charleston Sleep Center PLLC Past Accepting new patients
Western Virginia Hma Physician Management Inc Past Accepting new patients
Pennington Gap Hma Physician Management Inc Pulmonary Disease Past Accepting new patients
Riverside Medical Group PLLC PastSince Oct 1, 1998 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7580/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1457439788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 W RIDGE RD",
            "address_2": "SUITE I",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821094",
            "telephone_number": "276-228-8800",
            "fax_number": "276-228-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 W RIDGE RD",
            "address_2": "STE I",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821094",
            "telephone_number": "276-228-8800",
            "fax_number": "276-228-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABRE",
        "first_name": "ANTOINE",
        "middle_name": "GEORGE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101240438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wytheville, VA

Sources for this page

Verify at the official NPI Registry.