Individual provider Active NPI

Sarah Habbal

  • Pediatrics Physician
  • Memphis, TN
National Provider Identifier
1770036915
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301502093 Issued in MI
Practice address
262 Danny Thomas PL
Mail Stop 320
Memphis, TN 38105-3678
Phone
(901) 595-3578
NPI assigned
Jul 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Infectious Diseases Physician 2080P0208X WAVIED TN
Pediatrics Physician 208000000X 4301502093 MI Primary

Addresses

Primary practice location

262 Danny Thomas PL
Mail Stop 320
Memphis, TN 38105-3678

Mailing address

262 Danny Thomas PL
Mail Stop 320
Memphis, TN 38105-3678
Phone (901) 595-3578

Other practice location 1

3500 15 Mile Rd
Sterling Heights, MI 48310-5353
Phone (800) 653-6568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IL2 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
I20210205001722 MI Practitioner - Pediatric Medicine 5597010181 Reassigns benefits to 1 organization
I20260127001704 IL Practitioner - Pediatric Medicine 5597010181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2550 Charles St
Rockford, IL 61108-1606

2550 Charles St
Rockford, IL 61108-1673

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
WAVIEDTNMDPediatric Infectious Diseases Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Pediatrics CurrentSince Feb 1, 2021 Accepting new patients
Swedishamerican Hospital CurrentSince Jan 12, 2026 Accepting new patients
Henry Ford Health System CurrentSince Feb 1, 2021 Accepting new patients
Henry Ford Health System Current Accepting new patients
Swedishamerican Hospital CurrentSince Jan 12, 2026 Accepting new patients
Swedishamerican Hospital Pediatrics Past Accepting new patients

Locations

6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

3500 15 Mile Rd
Sterling Hts, MI 48310
Phone (586) 977-9300

Organizations & group practices 6

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": "1469318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1770036915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 DANNY THOMAS PL",
            "address_2": "MAIL STOP 320",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381053678",
            "telephone_number": "901-595-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 DANNY THOMAS PL",
            "address_2": "MAIL STOP 320",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381053678",
            "telephone_number": "901-595-3578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 15 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483105353",
            "country_code": "US",
            "telephone_number": "800-653-6568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HABBAL",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-24",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "TN",
            "license": "WAVIED",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301502093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.