Individual provider Active NPI

Manuel E Babaian, MD

  • Gastroenterology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1649374950
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME73318 Issued in FL
Practice address
5700 N Federal Hwy #1
Fort Lauderdale, FL 33308
Phone
(954) 784-3131
Fax
(954) 900-2900
NPI assigned
Sep 8, 2006
Last updated
Feb 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME73318 FL Primary

Addresses

Primary practice location

5700 N Federal Hwy #1
Fort Lauderdale, FL 33308

Mailing address

PO Box 667111
Pompano Beach, FL 33066
Phone (954) 784-3131

Other identifiers 8

IdentifierTypeStateIssuer
1000771OtherHUMANA
235910OtherAVMED
252568200MedicaidFL
2595699OtherAETNA
G22675OtherVISTA
25962OtherNEIGHBORHOOD HEALTH
41408OtherBC BS PPO
1032627OtherCAREPLUS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20080709000693 FL Practitioner - Gastroenterology 2466524467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coral Ridge Gastroenterology Associates LLCGroup PAC ID 1658443650, 9 clinicians

Practice addresses (Care Compare)

550 SW 3Rd St
Pompano Beach, FL 33060-6934
Phone (954) 784-3131

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy95
Upper gastrointestinal (GI) endoscopy for acid reflux41

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coral Ridge Gastroenterology Associates LLC Gastroenterology CurrentSince Feb 17, 2010 Accepting new patients
Gastroenterology Assoc PA Past Accepting new patients

Locations

5700 N Federal Hwy
Ste 1
Ft Lauderdale, FL 33308
Phone (954) 491-6400

5301 N Dixie Hwy
Ste 202
Oakland Park, FL 33334
Phone (954) 202-7850

550 SW 3rd St
Pompano Beach, FL 33060
Phone (954) 781-9704

550 SW 3rd St
Ste 206
Pompano Beach, FL 33060
Phone (305) 755-2320

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1649374950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 667111",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "33066",
            "telephone_number": "954-784-3131",
            "fax_number": "954-900-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 N FEDERAL HWY #1",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33308",
            "telephone_number": "954-784-3131",
            "fax_number": "954-900-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABAIAN",
        "first_name": "MANUEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME73318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "1000771",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "235910",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252568200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2595699",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISTA",
            "identifier": "G22675",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "25962",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS PPO",
            "identifier": "41408",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREPLUS",
            "identifier": "1032627",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.