Active NPI
Abdul Haseeb, MD
- Nephrology Physician
- Macon, GA
National Provider Identifier
1548754856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 93031
- Practice address
- 890 2ND St Ste 201
Macon, GA 31201-6863 - Phone
- (478) 745-4322
- Fax
- (478) 254-3629
- NPI assigned
- Jun 20, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Nephrology Physician | 207RN0300X | 93031 | GA | Primary |
Addresses
Primary practice location
890 2ND St Ste 201
Macon, GA 31201-6863
Mailing address
890 2ND St Ste 201
Macon, GA 31201-6863
Phone (478) 745-4322
Other practice location 1
56 Franklin St
Waterbury, CT 06706-1253
Phone (203) 709-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230511000816 | GA | Practitioner - Nephrology | 8527316751 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Georgia Kidney Specialists, PC | Current | Accepting new patients |
Locations
657 Hemlock St
Ste 200
Macon, GA 31201
Phone (478) 254-7353
745 Pine St
Macon, GA 31201
Phone (478) 476-0196
890 2nd St
Ste 201
Macon, GA 31201
Phone (478) 745-7322
1520 N Columbia St
Ste 101
Milledgeville, GA 31061
Interoperability endpoints
- ahaseeb1233711@carolinashealthcaresystem.direct-ci.com
- https://fhir4.healow.com/fhir/r4/JIFEAA
- ahaseeb146203@direct.phhs.org
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 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Macon, GA
- NPI 1073910485
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Warner Robins, GA
- NPI 1457320715
Dialysis facility
-
- General Acute Care Hospital
- Macon, GA
- NPI 1043270564
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Central Georgia Kidney Specialists, PC
Practice addresses (Care Compare)
890 2ND St
Suite 201
Macon, GA 31201-6863
Phone (478) 745-4322
Hospital & facility affiliations
- DaVita Dialysis Center of Middle Georgia-Warner Robins
- DaVita Fort Valley Dialysis Center
- DaVita Dialysis Center of Middle Georgia-Macon
- Macon Southside Dialysis Center
- Atrium Health Navicent the Medical Center
- Coliseum Medical Centers, LLC, Dba
- Navicent Health Baldwin
- Piedmont Macon North Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688169600000",
"number": "1548754856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "890 2ND ST STE 201",
"city": "MACON",
"state": "GA",
"postal_code": "312016863",
"telephone_number": "478-745-4322",
"fax_number": "478-254-3629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "890 2ND ST STE 201",
"city": "MACON",
"state": "GA",
"postal_code": "312016863",
"telephone_number": "478-745-4322",
"fax_number": "478-254-3629"
}
],
"practiceLocations": [
{
"address_1": "56 Franklin St",
"address_purpose": "LOCATION",
"city": "Waterbury",
"state": "CT",
"postal_code": "067061253",
"country_code": "US",
"telephone_number": "203-709-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HASEEB",
"first_name": "ABDUL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-20",
"last_updated": "2023-07-01",
"certification_date": "2023-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "GA",
"license": "93031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2023; 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.