Individual provider Active NPI

Michael C Haben, MD, MSC

  • Otolaryngology Physician
  • Rochester, NY
National Provider Identifier
1770515678
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
230501 Issued in NY
Practice address
980 Westfall Rd
BLDG 100, Ste 127
Rochester, NY 14618-2605
Phone
(585) 442-1110
Fax
(585) 730-8151
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 230501 NY Primary

Addresses

Primary practice location

980 Westfall Rd
BLDG 100, Ste 127
Rochester, NY 14618-2605

Mailing address

980 Westfall Rd
BLDG 100, Ste 127
Rochester, NY 14618-2605
Phone (585) 442-1110

Other identifiers 6

IdentifierTypeStateIssuer
02553175MedicaidNY
G0182467590OtherNYBLUE CHOICE
000924636001OtherNYCOMMUNITY BLUE
MDH700OtherNYPREFERRED CARE
7827465OtherNYAETNA
P010230501OtherNYBLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040308000396 NY Practitioner - Otolaryngology 2466340906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Rush Medical College of Rush University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

980 Westfall Rd
Suite 127
Rochester, NY 14618-2609
Phone (585) 442-1110

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Haben Practice for Voice & Laryngeal Laser Surgery PLLC Otolaryngology CurrentSince Sep 1, 2009 Accepting new patients

Locations

980 Westfall Rd
Ste 1127
Rochester, NY 14618
Phone (585) 727-5436

980 Westfall Rd
Ste 127
Rochester, NY 14618
Phone (585) 442-1110

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADCHAA/Endpoint/ADCHAA

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 and National Provider Directory roles.

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295308800000",
    "number": "1770515678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 WESTFALL RD",
            "address_2": "BLDG 100, STE 127",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182605",
            "telephone_number": "585-442-1110",
            "fax_number": "585-730-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 WESTFALL RD",
            "address_2": "BLDG 100, STE 127",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182605",
            "telephone_number": "585-442-1110",
            "fax_number": "585-730-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABEN",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD, MSC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2011-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "230501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02553175",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "G0182467590",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BLUE",
            "identifier": "000924636001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "MDH700",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7827465",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "P010230501",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.