Active NPI
Bemen Habashi
- Internal Medicine Physician
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 69273
- Practice address
- 20 York St
New Haven, CT 06510-3202 - Phone
- (203) 688-1734
- Fax
- (475) 246-9106
- NPI assigned
- Mar 27, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD-51425 | IA | |
| Hospitalist Physician | 208M00000X | MD-51425 | IA | |
| Internal Medicine Physician | 207R00000X | 69273 | CT | Primary |
Addresses
Primary practice location
20 York St
New Haven, CT 06510-3202
Mailing address
20 York St
New Haven, CT 06510-3202
Phone (203) 688-1734
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- 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
- Internal Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20 York St
New Haven, CT 06510-3220
Phone (203) 688-4741
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Prospect CT Medical Foundation, Inc. | Internal Medicine | Current | Accepting new patients |
Locations
1801 W Olympic Blvd
#2201
Pasadena, CA 91199
18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557
20 York St
Unit CB2041
New Haven, CT 06510
Phone (203) 688-4741
20 York St
North Haven, CT 06510
Phone (203) 688-2433
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
160 Robbins St
Waterbury, CT 06708
Phone (203) 573-7284
64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142
Interoperability endpoints
- bhabashi333164@direct.ynhh.org
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Bridgeport, CT
- NPI 1043278351
-
- Family Medicine Physician
- Manchester, CT
- NPI 1144677568
Internal Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1336139500
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1578778726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1487159877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 YORK ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103202",
"telephone_number": "203-688-1734",
"fax_number": "475-246-9106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 YORK ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103202",
"telephone_number": "203-688-1734",
"fax_number": "475-246-9106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HABASHI",
"first_name": "BEMEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-27",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IA",
"license": "MD-51425",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IA",
"license": "MD-51425",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "69273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.