Individual provider Active NPI

Jeffrey A Khabir, MD

  • Internal Medicine Physician
  • Mt Pleasant, MI
National Provider Identifier
1790973188
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301047556 Issued in MI
Practice address
520 N Mission St
Mt Pleasant, MI 48858-1828
Phone
(989) 772-9300
Fax
(989) 773-0558
NPI assigned
Oct 10, 2007
Last updated
Oct 10, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301047556 MI Primary

Addresses

Primary practice location

520 N Mission St
Mt Pleasant, MI 48858-1828

Mailing address

520 N Mission St
Mt Pleasant, MI 48858-1828
Phone (989) 772-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20111011000604 MI Practitioner - Internal Medicine 0345428470 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jeffrey a Khabir MD PLLCGroup PAC ID 2365674991, 2 clinicians
Sweetwater Medical CenterGroup PAC ID 7113286378, 2 clinicians

Practice addresses (Care Compare)

211 S Crapo St
Mt Pleasant, MI 48858-2961
Phone (989) 953-5330

322 E Wright Ave
Shepherd, MI 48883-9375
Phone (989) 828-4614

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301047556MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sweetwater Medical Center CurrentSince Dec 12, 2017 Accepting new patients
Jeffrey a. Khabir, MD, PLLC Internal Medicine CurrentSince Mar 17, 2014 Accepting new patients

Locations

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

211 S Crapo St
Mt Pleasant, MI 48858
Phone (989) 684-4400

211 S Crapo St
Ste A
Mt Pleasant, MI 48858
Phone (989) 772-7600

322 E Wright Ave
Shepherd, MI 48883
Phone (989) 828-4614

Interoperability endpoints

  • Direct secure messaging: jeffrey.khabir.1@31748.direct.athenahealth.com

Organizations & group practices 3

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 4

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": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1790973188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N MISSION ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488581828",
            "telephone_number": "989-772-9300",
            "fax_number": "989-773-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N MISSION ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488581828",
            "telephone_number": "989-772-9300",
            "fax_number": "989-773-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHABIR",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-10",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "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

Verify at the official NPI Registry.