Individual provider Active NPI

Habeeb Ali Lakhani, M.D.

  • Family Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1801966692
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
47935 Issued in FL
Practice address
10031 Pines Blvd Ste 103
Pembroke Pines, FL 33024-6195
Phone
(954) 442-3400
Fax
(954) 442-0310
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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 47935 FL Primary

Addresses

Primary practice location

10031 Pines Blvd Ste 103
Pembroke Pines, FL 33024-6195

Mailing address

10031 Pines Blvd Ste 103
Pembroke Pines, FL 33024-6195
Phone (954) 442-3400

Other practice location 1

7604 NW 186th St
Hialeah, FL 33015-2929
Phone (305) 362-8182

Other identifiers 4

IdentifierTypeStateIssuer
043012900MedicaidFL
043012901MedicaidFL
016619500MedicaidFL
016485100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20120730000040 FL Practitioner - General Practice 2163688094 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10031 Pines Blvd
Pembroke Pines, FL 33024-6195
Phone (954) 442-3400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Habeeb Lakhani MD PA CurrentSince Nov 13, 2011 Accepting new patients
Institute of Health Services, Inc. CurrentSince Nov 1, 1998 Accepting new patients

Locations

7604 NW 186th St
Miami Gardens, FL 33015
Phone (305) 362-8182

10031 Pines Blvd
Ste 103
Pembroke Pines, FL 33024
Phone (954) 430-0591

11260 Pines Blvd
Pembroke Pines, FL 33026
Phone (954) 442-3400

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1801966692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10031 PINES BLVD STE 103",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246195",
            "telephone_number": "954-442-3400",
            "fax_number": "954-442-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10031 PINES BLVD STE 103",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246195",
            "telephone_number": "954-442-3400",
            "fax_number": "954-442-0310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7604 NW 186th St",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330152929",
            "country_code": "US",
            "telephone_number": "305-362-8182",
            "fax_number": "305-826-8460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAKHANI",
        "first_name": "HABEEB",
        "middle_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "47935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043012900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043012901",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016619500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016485100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.