Khalid A Habo, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35-085977 Issued in OH

Practice address

8580 South Ave Ste 2
Youngstown, OH 44514-3693

Phone

(330) 965-7454

Fax

(330) 965-7459

NPI assigned

Jan 30, 2006

Last updated

Jan 31, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Pediatric Associates of Youngstown

  • Pediatrics Physician
  • Youngstown, OH
  • NPI 1811187735
  NPD Authorized official
• Children's Hospital Medical Center of Akron

  dba Akron Children's Home Care

  • Home Infusion Agency
  • Akron, OH
  • NPI 1649485848
  NPD (past)
• Mercy Health Youngstown LLC

  dba Mercy Health St Elizabeth Boardman Hospital

  • General Acute Care Hospital
  • Youngstown, OH
  • NPI 1790868982
  NPD (past)
• Robinson Health System Inc

  dba University Hospitals Portage Medical Center Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Ravenna, OH
  • NPI 1922597533
  NPD (past)
• Robinson Memorial Portage County Hospital

  • Home Health Agency
  • Ravenna, OH
  • NPI 1962425751
  NPD (past)
• Onslow Pediatric Associates, P.a.

  • Pediatrics Physician
  • Jacksonville, NC
  • NPI 1073572822
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1801867627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8580 SOUTH AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445143693",
            "telephone_number": "910-324-6578",
            "fax_number": "330-776-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8580 SOUTH AVE STE 2",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445143693",
            "telephone_number": "330-965-7454",
            "fax_number": "330-965-7459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABO",
        "first_name": "KHALID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35-085977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2744374",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "1393W",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Gwilt
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• Laura Jane Haas, MSW LSW
• Bethany Haddle
• Justina Hafely
• Wellington W Hager, LICDC, LPC
• Joann Marie Hagerty
• Kyal Hagerty

• Pediatrics Physician in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.