Organization Active NPI

Habeeb Lakhani MD PA

  • Primary Care Clinic/Center
  • Hialeah, FL
National Provider Identifier
1720389554
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME0047935 Issued in FL
Legal business name
HABEEB LAKHANI MD PA
Practice address
7604 NW 186TH St
Hialeah, FL 33015-2929
Phone
(305) 362-8182
Fax
(305) 826-8460
NPI assigned
Nov 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Authorized official

Name
Dr. Habeeb Ali Lakhani, MDNPI 1801966692
Title
President
Phone
(954) 442-3400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME0047935 FL Primary

Addresses

Primary practice location

7604 NW 186TH St
Hialeah, FL 33015-2929

Mailing address

10031 Pines Blvd Ste 103
Pembroke Pines, FL 33024-6195
Phone (954) 442-3400

Other identifiers 2

IdentifierTypeStateIssuer
016619500MedicaidFL
043012900MedicaidFL

Other names 1

  • SAWGRASS FAMILY MEDICAL CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120723000316 FL Part B Supplier - Clinic/Group Practice 0941466882 Receives reassigned benefits from 1 practitioner
Practice locations: Hialeah, FL

National Provider Directory

National Provider Directory

Locations

7604 NW 186th St
Miami Gardens, FL 33015
Phone (305) 362-8182

10031 Pines Blvd
Ste 103
Pembroke Pines, FL 33024
Phone (954) 430-0591

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1720389554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10031 PINES BLVD STE 103",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246195",
            "telephone_number": "954-442-3400",
            "fax_number": "954-442-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7604 NW 186TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330152929",
            "telephone_number": "305-362-8182",
            "fax_number": "305-826-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HABEEB LAKHANI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "LAKHANI",
        "authorized_official_first_name": "HABEEB",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-442-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME0047935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016619500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043012900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAWGRASS FAMILY MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.