Individual provider Active NPI

Alfred M Habel, MD

  • Pulmonary Disease Physician
  • Kenosha, WI
National Provider Identifier
1760439608
Registry record updated Sep 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
38848 Issued in WI
Practice address
6308 8TH Ave
Kenosha, WI 53143-5031
Phone
(262) 653-5360
Fax
(262) 653-5357
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 38848 WI
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 38848 WI
Pulmonary Disease Physician 207RP1001X 38848 WI Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 38848-20 WI

Addresses

Primary practice location

6308 8TH Ave
Kenosha, WI 53143-5031

Mailing address

6308 8TH Ave
Kenosha, WI 53143-5031
Phone (262) 653-5360

Other identifiers 3

IdentifierTypeStateIssuer
32339400MedicaidWI
290009957OtherWIMEDICARE RR
397800727006OtherWIANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20101022001227 WI Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 9830382779 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Medical College of Wisconsin, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health System CorporationGroup PAC ID 7416860440, 749 clinicians
Lakeview Neurorehab Center Midwest IncGroup PAC ID 6709770274, 2 clinicians
Froedtert South IncGroup PAC ID 9537071196, 158 clinicians

Practice addresses (Care Compare)

1000 Mineral Point Ave
Janesville, WI 53548-2940
Phone (608) 756-6000

1701 Sharp Rd
Waterford, WI 53185-5214
Phone (262) 534-7297

6308 8TH Ave
Kenosha, WI 53143-5031
Phone (262) 771-0073

Hospital & facility affiliations

  • Froedtert South Inc. Hospital, Kenosha, WI, CCN 520021

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38848WIMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health System Corporation Current Accepting new patients
Mercy Health System Corporation CurrentSince Feb 23, 2018 Accepting new patients
Froedtert South, Inc. CurrentSince Aug 1, 1997 Accepting new patients
Sleepwatchers, PLLC Sleep Medicine CurrentSince Jan 1, 2012 Accepting new patients
Sleepwatchers, PLLC CurrentSince Jan 1, 2012 Accepting new patients
Mercy Health System Corporation CurrentSince Feb 23, 2018 Accepting new patients
Froedtert South, Inc. Past Accepting new patients
Kenosha Pathology Consultants Past Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

50 S Milwaukee Ave
Ste 201
Lake Villa, IL 60046
Phone (224) 372-7880

39336 N State Route 59
Lake Villa, IL 60046
Phone (847) 838-9253

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

6308 8th Ave
Ste 2000B
Kenosha, WI 53143

6308 8th Ave
Kenosha, WI 53143
Phone (262) 653-5300

6308 8th Ave
Ste 2000A
Kenosha, WI 53143

9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000

Interoperability endpoints

  • Direct secure messaging: ahabel341627@direct.froedtert.com

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473897600000",
    "number": "1760439608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6308 8TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531435031",
            "telephone_number": "262-653-5360",
            "fax_number": "262-653-5357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6308 8TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531435031",
            "telephone_number": "262-653-5360",
            "fax_number": "262-653-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABEL",
        "first_name": "ALFRED",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2016-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "38848",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WI",
            "license": "38848",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WI",
            "license": "38848",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "WI",
            "license": "38848-20",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32339400",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "290009957",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "397800727006",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

Verify at the official NPI Registry.