Individual provider Active NPI

Susane Maher Habashi-Ahigian, M.D.

  • Family Medicine Physician
  • Denver, NC
National Provider Identifier
1801840178
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
37842 Issued in NC
Practice address
2266 N Highway 16
Denver, NC 28037-8254
Phone
(704) 483-2200
Fax
(704) 483-2214
NPI assigned
May 20, 2006
Last updated
Oct 9, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 37842 NC Primary

Addresses

Primary practice location

2266 N Highway 16
Denver, NC 28037-8254

Mailing address

2266 N Highway 16
Denver, NC 28037-8254
Phone (704) 483-2200

Other identifiers 1

IdentifierTypeStateIssuer
8910419MedicaidNC

Other names 1

  • Susane Habashi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20040528000661 NC Practitioner - Family Practice 8123009727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North State Medical Group PAGroup PAC ID 0840242822, 2 clinicians
Carolina Physical Therapy Associates LLCGroup PAC ID 7012989684, shared by 7 NPIs, 496 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

2266 N NC 16 Business Hwy
Denver, NC 28037-8254
Phone (704) 483-2200

3367 N NC 16 Business Hwy
Denver, NC 28037-8265
Phone (419) 221-6717

7482 Waterside Crossing Blvd
Suite 103
Denver, NC 28037-3006
Phone (704) 827-0598

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37842NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North State Medical Group, P.a. Family Medicine CurrentSince Sep 1, 1996 Accepting new patients
North State Medical Group, P.a. Family Medicine CurrentSince Sep 1, 1996 Accepting new patients

Locations

2266 N NC 16 Business Hwy
Denver, NC 28037
Phone (704) 483-2200

9816 Sam Furr Rd
Ste 101
Huntersville, NC 28078
Phone (423) 343-7020

Interoperability endpoints

  • Direct secure messaging: susane.habashi-ahigian.1@31154.direct.athenahealth.com

Organizations & group practices 2

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 2

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1801840178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2266 N HIGHWAY 16",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280378254",
            "telephone_number": "704-483-2200",
            "fax_number": "704-483-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2266 N HIGHWAY 16",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280378254",
            "telephone_number": "704-483-2200",
            "fax_number": "704-483-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABASHI-AHIGIAN",
        "first_name": "SUSANE",
        "middle_name": "MAHER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "37842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8910419",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSANE",
            "last_name": "HABASHI",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver, NC

Sources for this page

Verify at the official NPI Registry.