Individual provider Active NPI

Habakuk Michel, MD

  • Family Medicine Physician
  • Pensacola, FL
National Provider Identifier
1467806448
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME142526 Issued in FL
Practice address
6000 US 98 West
Pensacola, FL 32512-3414
Phone
(850) 505-7171
NPI assigned
Apr 16, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A151611 CA
Family Medicine Physician 207Q00000X ME142526 FL Primary

Addresses

Primary practice location

6000 US 98 West
Pensacola, FL 32512-3414

Mailing address

3250 Sawtelle Blvd
Apartment 101
Los Angeles, CA 90066-1664
Phone (443) 400-3827

Other practice location 1

1920 Colorado Ave
2nd Floor
Santa Monica, CA 90404-3414
Phone (310) 319-4714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200414003480 SC Practitioner - Family Practice 6507129749 Reassigns benefits to 1 organization
I20230505001687 FL Practitioner - Family Practice 6507129749 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A151611CAMDFamily Medicine Physician
ME142526FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dwic of Tampa Bay, Inc. CurrentSince Apr 1, 2023 Accepting new patients
Medexpress Urgent Care of Boynton Beach, LLC CurrentSince Apr 1, 2023 Accepting new patients
Medexpress Urgent Care of Boynton Beach, LLC CurrentSince Apr 1, 2023 Accepting new patients
Dwic of Tampa Bay, Inc CurrentSince Apr 1, 2023 Accepting new patients
Dwic of Tampa Bay, Inc. Current Accepting new patients

Locations

7593 Boynton Beach Blvd
Ste 190
Boynton Beach, FL 33437
Phone (561) 572-3200

8849 State Road 52
Hudson, FL 34667
Phone (727) 863-7150

1120 Homestead Rd N
Lehigh Acres, FL 33936
Phone (239) 303-5020

2810 W Mlk Blvd
Tampa, FL 33607
Phone (813) 289-6637

423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510

Interoperability endpoints

  • Direct secure messaging: habakuk.michel.1@30520.direct.athenahealth.com

Organizations & group practices 6

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": "1460764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1467806448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 SAWTELLE BLVD",
            "address_2": "APARTMENT 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900661664",
            "telephone_number": "443-400-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 US 98 WEST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325123414",
            "telephone_number": "850-505-7171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1920 Colorado Ave",
            "address_2": "2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904043414",
            "country_code": "US",
            "telephone_number": "310-319-4714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHEL",
        "first_name": "HABAKUK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-16",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A151611",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME142526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.