Individual provider Active NPI

Fahim A. Habib, MD

  • Surgical Critical Care Physician
  • Phoenix, AZ
National Provider Identifier
1659336857
Registry record updated Jan 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
58639 Issued in AZ
Practice address
20333 N 19TH Ave Ste 230
Phoenix, AZ 85027-9901
Phone
(480) 707-9504
Fax
(602) 581-7764
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD455975 PA
Surgical Critical Care Physician 2086S0102X MD455975 PA
Surgical Critical Care Physician 2086S0102X 58639 AZ Primary

Addresses

Primary practice location

20333 N 19TH Ave Ste 230
Phoenix, AZ 85027-9901

Mailing address

20333 N 19TH Ave Ste 230
Phoenix, AZ 85027-9901
Phone (480) 707-9504

Other practice location 1

320 E North Ave
Pittsburgh, PA 15212-4756
Phone (412) 359-8820

Other practice location 2

485 S Dobson Rd Ste 201
Chandler, AZ 85224-5604
Phone (480) 728-4700

Other identifiers 2

IdentifierTypeStateIssuer
0147768MedicaidOH
2716178-00MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, AZ2 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
I20151217001924 PA Practitioner - Thoracic SurgeryPractitioner - General Surgery 6204881881 Reassigns benefits to 3 organizations
I20191101001715 AZ Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 6204881881 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13481 W McDowell Rd
Suite 400
Goodyear, AZ 85395-2725
Phone (602) 837-7400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD455975PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Altoona Regional Health Services, Inc CurrentSince Dec 1, 2022 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Allegheny Clinic CurrentSince Oct 1, 2015 Accepting new patients
Bullhead City Clinic Corp Surgery CurrentSince Dec 1, 2022 Accepting new patients
Allegheny Clinic CurrentSince Oct 1, 2015 Accepting new patients
Upmc Altoona Regional Health Services, Inc Current Accepting new patients
University of Pittsburgh Physicians CurrentSince Jan 9, 2022 Accepting new patients
Valley Surgical Clinics, LTD Surgery CurrentSince Sep 1, 2023 Accepting new patients
Allegheny Clinic Current Accepting new patients
University of Pittsburgh Physicians CurrentSince Jan 9, 2022 Accepting new patients
Surgicalist of Az PLLC Surgery CurrentSince Mar 1, 2024 Accepting new patients
Lee County Trauma Services District CurrentSince Apr 19, 2019 Accepting new patients
Specialty Surgery Clinics of Arizona Inc Surgery CurrentSince Oct 1, 2024 Accepting new patients
Bullhead City Clinic Corp CurrentSince Dec 1, 2022 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Hospital Development of West Phoenix Inc Past Accepting new patients

Locations

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

1125 S Alma School Rd
Ste 202
Chandler, AZ 85286
Phone (480) 409-5060

13481 W McDowell Rd
Ste 400
Goodyear, AZ 85395
Phone (602) 837-7400

13555 W McDowell Rd
Ste 204
Goodyear, AZ 85395
Phone (613) 512-4326

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

16601 N 40th St
Ste 204
Phoenix, AZ 85032
Phone (602) 633-3721

13685 Doctors Way
Ste 140
Fort Myers, FL 33912
Phone (239) 278-3903

2780 Cleveland Ave
Ste 702
Fort Myers, FL 33901
Phone (239) 332-6474

1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

4815 Liberty Ave
Ste 156158
Pittsburgh, PA 15224
Phone (412) 578-3505

300 Halket St
Ste 5200
Pittsburgh, PA 15213
Phone (412) 641-7850

4815 Liberty Ave
Ste 439
Pittsburgh, PA 15224
Phone (412) 578-3925

320 E North Ave
Ste 261
Pittsburgh, PA 15212
Phone (412) 359-3901

700 High St
Williamsport, PA 17701
Phone (570) 321-2000

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 2

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736035200000",
    "number": "1659336857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20333 N 19TH AVE STE 230",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850279901",
            "telephone_number": "480-707-9504",
            "fax_number": "602-581-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20333 N 19TH AVE STE 230",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850279901",
            "telephone_number": "480-707-9504",
            "fax_number": "602-581-7764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 E North Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152124756",
            "country_code": "US",
            "telephone_number": "412-359-8820",
            "fax_number": "412-359-8222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "485 S Dobson Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852245604",
            "country_code": "US",
            "telephone_number": "480-728-4700",
            "fax_number": "480-728-4747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HABIB",
        "first_name": "FAHIM",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2025-01-05",
        "certification_date": "2025-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD455975",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "PA",
            "license": "MD455975",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "AZ",
            "license": "58639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0147768",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2716178-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.