Individual provider Active NPI

Tim Habboub, DO

  • Student in an Organized Health Care Education/Training Program
  • Boston, MA
National Provider Identifier
1699613158
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
771 Albany St
Dept of OB/GYN Dowling 4
Boston, MA 02118-2525
Phone
(617) 414-5193
NPI assigned
Mar 24, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MA Primary

Addresses

Primary practice location

771 Albany St
Dept of OB/GYN Dowling 4
Boston, MA 02118-2525

Mailing address

771 Albany St
Dept of OB/GYN Dowling 4
Boston, MA 02118-2525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1774310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1699613158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 ALBANY ST",
            "address_2": "DEPT OF OB/GYN DOWLING 4",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 ALBANY ST",
            "address_2": "DEPT OF OB/GYN DOWLING 4",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182525",
            "telephone_number": "617-414-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABBOUB",
        "first_name": "TIM",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-24",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.