Individual provider Active NPI

Fawaz Habeeb, M.D.

  • Internal Medicine Physician
  • Birmingham, AL
National Provider Identifier
1710145669
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
30112 Issued in AL
Practice address
817 Princeton Ave SW
Pob II - Suite 300
Birmingham, AL 35211-1333
Phone
(205) 783-7970
Fax
(205) 783-7695
NPI assigned
May 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Hospitalist Physician 208M00000X 30112 AL
Internal Medicine Physician 207R00000X 30112 AL Primary

Addresses

Primary practice location

817 Princeton Ave SW
Pob II - Suite 300
Birmingham, AL 35211-1333

Mailing address

817 Princeton Ave SW
Pob II - Suite 300
Birmingham, AL 35211-1333
Phone (205) 783-7970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20111202000285 AL Practitioner - Internal Medicine 2860667888 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Physician Services - Southeast Professional Corporation Hospitalist CurrentSince Jan 1, 2022 Accepting new patients
Baptist Health Centers, LLC CurrentSince Jul 1, 2019 Accepting new patients
Baptist Health Centers LLC CurrentSince Jul 1, 2019 Accepting new patients
Baptist Health Centers, LLC Current Accepting new patients

Locations

817 Princeton Ave SW
Ste 300
Birmingham, AL 35211
Phone (205) 780-8980

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860

2010 Medical Center Dr
Homewood, AL 35209
Phone (205) 877-1930

3400 Highway 78 E
Jasper, AL 35501
Phone (205) 387-4000

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1710145669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 PRINCETON AVE SW",
            "address_2": "POB II - SUITE 300",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111333",
            "telephone_number": "205-783-7970",
            "fax_number": "205-783-7695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 PRINCETON AVE SW",
            "address_2": "POB II - SUITE 300",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111333",
            "telephone_number": "205-783-7970",
            "fax_number": "205-783-7695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABEEB",
        "first_name": "FAWAZ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-28",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AL",
            "license": "30112",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "30112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.