Individual provider Active NPI

Habib U Bahar, MD

  • Nephrology Physician
  • Killeen, TX
National Provider Identifier
1750336442
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
K3074 Issued in TX
Practice address
726 S Fort Hood St
Killeen, TX 76541-7431
Phone
(254) 554-3366
Fax
(254) 628-8998
NPI assigned
May 23, 2006
Last updated
Feb 27, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X K3074 TX Primary

Addresses

Primary practice location

726 S Fort Hood St
Killeen, TX 76541-7431

Mailing address

2329 N 39TH St
Waco, TX 76708-3003
Phone (254) 752-5503

Other identifiers 1

IdentifierTypeStateIssuer
043434201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080228000623 TX Practitioner - Nephrology 8022192079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Texas Nephrology Associates, P.a.Group PAC ID 7618948571, 14 clinicians

Practice addresses (Care Compare)

1507 Hillview Dr
Hillsboro, TX 76645-2746
Phone (254) 582-5442

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Nephrology Associates, P.a. Nephrology CurrentSince Jul 1, 1997 Accepting new patients

Locations

1507 Hillview Dr
Hillsboro, TX 76645
Phone (254) 582-5442

2915 Saulsbury Dr
Temple, TX 76504
Phone (254) 742-1162

2329 N 39th St
Waco, TX 76708
Phone (254) 752-5503

5940 Crosslake Pkwy
Waco, TX 76712
Phone (254) 666-2999

Interoperability endpoints

  • Direct secure messaging: hbahar75119@direct.acumenmd.com

Organizations & group practices 1

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1750336442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 N 39TH ST",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083003",
            "telephone_number": "254-752-5503",
            "fax_number": "254-752-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 S FORT HOOD ST",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765417431",
            "telephone_number": "254-554-3366",
            "fax_number": "254-628-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHAR",
        "first_name": "HABIB",
        "middle_name": "U",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "K3074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043434201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

Verify at the official NPI Registry.