Active NPI
Fahim A. Habib, MD
- Surgical Critical Care Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- 58639
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0147768 | Medicaid | OH | |
| 2716178-00 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- 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
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD455975 | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upmc Altoona Regional Health Services, Inc | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Allegheny Clinic | Current | Accepting new patients | |
| Bullhead City Clinic Corp | Surgery | Current | Accepting new patients |
| Allegheny Clinic | Current | Accepting new patients | |
| Upmc Altoona Regional Health Services, Inc | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Valley Surgical Clinics, LTD | Surgery | Current | Accepting new patients |
| Allegheny Clinic | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Surgicalist of Az PLLC | Surgery | Current | Accepting new patients |
| Lee County Trauma Services District | Current | Accepting new patients | |
| Specialty Surgery Clinics of Arizona Inc | Surgery | Current | Accepting new patients |
| Bullhead City Clinic Corp | Current | 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.
-
- Surgery Physician
- Goodyear, AZ
- NPI 1134947187
-
- Surgery Physician
- Bullhead City, AZ
- NPI 1962429878
-
- Trauma Surgery Physician
- Goodyear, AZ
- NPI 1881196335
-
- Surgery Physician
- Phoenix, AZ
- NPI 1962440602
-
dba AHN-Primary Care Bethel Park
- Family Medicine Physician
- Bethel Park, PA
- NPI 1073081493
-
- Gastroenterology Physician
- Pittsburgh, PA
- NPI 1619935004
-
dba Blair Medical Associates
- Family Medicine Physician
- Altoona, PA
- NPI 1396724217
-
dba CRMC Trauma Services
- Emergency Care Clinic/Center
- Chandler, AZ
- NPI 1871910968
-
dba AHN Primary Care Mobile Clinic
- Primary Care Clinic/Center
- Pittsburgh, PA
- NPI 1215752548
-
dba McGinnis Thoracic & Cardiovascular Associates
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Pittsburgh, PA
- NPI 1417944935
-
dba Laughlin Walk In Care
- Family Medicine Physician
- Laughlin, NV
- NPI 1700240884
-
- Trauma Surgery Physician
- Fort Myers, FL
- NPI 1639226608
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gilbert, AZ
- NPI 1699884858
-
dba Banner Ocotillo Medical Center
- General Acute Care Hospital
- Chandler, AZ
- NPI 1972139004
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2025; 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.