Individual provider Active NPI

Nabil Anton Habash, MD

  • Plastic and Reconstructive Surgery Physician
  • Fort Worth, TX
National Provider Identifier
1720020878
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
N6334 Issued in TX
Practice address
1250 8TH Ave Ste 265
Fort Worth, TX 76104-4124
Phone
(682) 200-8580
Fax
(682) 200-8581
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 35086203 OH
Plastic and Reconstructive Surgery Physician 2086S0122X N6334 TX Primary
Plastic Surgery Physician 208200000X N6334 TX
Surgery Physician 208600000X 35086203 OH
Surgery Physician 208600000X N6334 TX

Addresses

Primary practice location

1250 8TH Ave Ste 265
Fort Worth, TX 76104-4124

Mailing address

PO Box 190922
Dallas, TX 75219-0922
Phone (512) 763-4545

Other identifiers 1

IdentifierTypeStateIssuer
2638524MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 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
I20100922000919 TX Practitioner - Plastic and Reconstructive Surgery 8224046925 Reassigns benefits to 1 organization
I20190305001784 OK Practitioner - Plastic and Reconstructive Surgery 8224046925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of North Carolina at Chapel Hill School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plastic Surgery Associates PAGroup PAC ID 9032361126, 8 clinicians

Practice addresses (Care Compare)

8516 S Portland Ave
Suite 201
Oklahoma City, OK 73159-2233
Phone (405) 246-0391

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N6334TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Plastic Surgery Associates PA Plastic Surgery CurrentSince Nov 1, 2012 Accepting new patients
Plastic Surgery Associates PA Plastic Surgery CurrentSince Nov 1, 2012 Accepting new patients
Plastic Surgery Associates PA Plastic and Reconstructive Surgery Past Accepting new patients
Habash MD Plastic Surgery Past Accepting new patients
Seton Family of Doctors Past Accepting new patients
Institute of Reconstructive Plastic Surgery of Central Texas Plastic and Reconstructive Surgery Past Accepting new patients
Institute of Reconstructive Plastic Surgery of Central Texas Plastic Surgery Past Accepting new patients

Locations

12201 Renfert Way
Ste 100
Austin, TX 78758
Phone (512) 454-0341

1250 8th Ave
Ste 265
Fort Worth, TX 76104
Phone (682) 200-8580

3201 S Austin Ave
Ste 305
Georgetown, TX 78626
Phone (512) 686-1650

Organizations & group practices 7

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1720020878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190922",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752190922",
            "telephone_number": "512-763-4545",
            "fax_number": "512-763-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 8TH AVE STE 265",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044124",
            "telephone_number": "682-200-8580",
            "fax_number": "682-200-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABASH",
        "first_name": "NABIL",
        "middle_name": "ANTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OH",
            "license": "35086203",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "N6334",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "N6334",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35086203",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "N6334",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2638524",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.