NPIMap

Individual provider Active NPI

Alex Orlando Habibe, MD

  • Internal Medicine Physician
  • Fresno, CA
National Provider Identifier
1629075395
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A91655 Issued in CA
Practice address
1383 E Herndon Ave
Suite 105
Fresno, CA 93720-3302
Phone
(559) 233-4691
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A91655 CA Primary

Addresses

Primary practice location

1383 E Herndon Ave
Suite 105
Fresno, CA 93720-3302

Mailing address

1383 E Herndon Ave
Ste 105
Fresno, CA 93720-3302
Phone (559) 233-4691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050802001427 CA Practitioner - Internal Medicine 7113955840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Saint Louis University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7780 N Fresno St
Suite 102
Fresno, CA 93720-2413
Phone (559) 233-4691

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.85 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
72.82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A91655CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alex O Habibe MD Inc CurrentSince Jul 27, 2005 Accepting new patients
Oakhurst Emergency Medicine Group Past Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients

Locations

2634 Tuolumne St
Fresno, CA 93721
Phone (559) 233-4691

7780 N Fresno St
Ste 102
Fresno, CA 93720
Phone (559) 447-9027

1383 E Herndon Ave
Ste 105
Fresno, CA 93720
Phone (559) 233-4691

Organizations & group practices 3

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 8

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1629075395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1383 E HERNDON AVE",
            "address_2": "STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203302",
            "telephone_number": "559-233-4691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1383 E HERNDON AVE",
            "address_2": "SUITE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203302",
            "telephone_number": "559-233-4691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABIBE",
        "first_name": "ALEX",
        "middle_name": "ORLANDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A91655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.