Organization Active NPI

Jeffrey a. Khabir, MD, PLLC

  • Internal Medicine Physician
  • Mt Pleasant, MI
National Provider Identifier
1790102697
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301047556 Issued in MI
Legal business name
JEFFREY A. KHABIR, MD, PLLC
Practice address
1985 Parkland St
Mt Pleasant, MI 48858-6017
Phone
(989) 953-5330
NPI assigned
Mar 28, 2014
Last updated
Mar 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Authorized official

Name
Dr. Jeffrey A Khabir, M.D.NPI 1790973188
Title
Physician
Phone
(989) 953-5330

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
Internal Medicine Physician 207R00000X 4301047556 MI Primary

Addresses

Primary practice location

1985 Parkland St
Mt Pleasant, MI 48858-6017

Mailing address

1985 Parkland St
P.O. Box 1939
Mt Pleasant, MI 48858-6017
Phone (989) 953-5330

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140415000697 MI Part B Supplier - Clinic/Group Practice 2365674991 Receives reassigned benefits from 3 practitioners
Practice locations: Mt Pleasant, MI

National Provider Directory

National Provider Directory

Locations

2378 S Lincoln Rd
Mt Pleasant, MI 48858
Phone (989) 572-0651

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395964800000",
    "number": "1790102697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1985 PARKLAND ST",
            "address_2": "P.O. BOX 1939",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488586017",
            "telephone_number": "989-953-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 PARKLAND ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488586017",
            "telephone_number": "989-953-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY A. KHABIR, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-28",
        "last_updated": "2014-03-28",
        "status": "A",
        "authorized_official_last_name": "KHABIR",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "989-953-5330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301047556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; 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.