Individual provider Active NPI

Adil Habib, M.D.

  • Transplant Hepatology Physician
  • Dallas, TX
National Provider Identifier
1831119882
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Hepatology PhysicianTaxonomy code 207RT0003X
License
P4451 Issued in TX
Practice address
1411 N Beckley Ave
Pavilion III, Suite 268
Dallas, TX 75203-1259
Phone
(214) 947-4400
Fax
(214) 947-4404
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X C180343 CA
Gastroenterology Physician 207RG0100X 22749 NV
Gastroenterology Physician 207RG0100X P4451 TX
Transplant Hepatology Physician 207RT0003X C180343 CA
Transplant Hepatology Physician 207RT0003X 22749 NV
Transplant Hepatology Physician 207RT0003X P4451 TX Primary

Addresses

Primary practice location

1411 N Beckley Ave
Pavilion III, Suite 268
Dallas, TX 75203-1259

Mailing address

1411 N Beckley Ave
Pavilion III, Suite 268
Dallas, TX 75203-1259
Phone (214) 947-4400

Other practice location 1

197 E Caroline St Ste 1400
San Bernardino, CA 92408-3731
Phone (800) 548-3790

Other practice location 2

2020 Wellness Way Ste 506
Las Vegas, NV 89106-4145
Phone (702) 823-0004

Other identifiers 1

IdentifierTypeStateIssuer
8DU043OtherTXBLUE CROSS & BLUE SHIELD OF TEXAS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20130712000473 TX Practitioner - Gastroenterology 5698876357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MedhealthGroup PAC ID 9931001567, 435 clinicians

Practice addresses (Care Compare)

1411 N Beckley Ave
Suite 268
Dallas, TX 75203-1260
Phone (214) 947-4400

Hospital & facility affiliations

  • Methodist Dallas Medical Center Hospital, Dallas, TX, CCN 450051
  • Methodist Mansfield Medical Center Hospital, Mansfield, TX, CCN 670023
  • Bsa Hospital Hospital, Amarillo, TX, CCN 450231
  • Methodist Midlothian Medical Center Hospital, Midlothian, TX, CCN 670300
  • Texas Health Huguley Hospital Fort Worth South Hospital, Fort Worth, TX, CCN 450677

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C180343CAMDTransplant Hepatology Physician
P4451TXMDTransplant Hepatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince Jan 1, 2016 Accepting new patients
Medhealth CurrentSince Jan 1, 2016 Accepting new patients
Advanced Pain & Rehabilitation Association PLLC Past Accepting new patients
St Marys Hospital Decatur of the Hospital Sisters of the Third Order Past Accepting new patients

Locations

1411 N Beckley Ave
Ste 2
Dallas, TX 75203

221 W Colorado Blvd
Ste 535
Dallas, TX 75208
Phone (214) 947-4440

3400 W Wheatland Rd
Ste 360
Dallas, TX 75237

1411 N Beckley Ave
Ste 268
Dallas, TX 75203

914 Lipscomb St
Unit A
Ft Worth, TX 76104
Phone (817) 348-0744

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700

Interoperability endpoints

  • Direct secure messaging: ahabib13617@dm.mhd.com
  • Direct secure messaging: ahabib564409@direct.llu.edu

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1831119882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 N BECKLEY AVE",
            "address_2": "PAVILION III, SUITE 268",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031259",
            "telephone_number": "214-947-4400",
            "fax_number": "214-947-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N BECKLEY AVE",
            "address_2": "PAVILION III, SUITE 268",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031259",
            "telephone_number": "214-947-4400",
            "fax_number": "214-947-4404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "197 E Caroline St Ste 1400",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924083731",
            "country_code": "US",
            "telephone_number": "800-548-3790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2020 Wellness Way Ste 506",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891064145",
            "country_code": "US",
            "telephone_number": "702-823-0004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HABIB",
        "first_name": "ADIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "C180343",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NV",
            "license": "22749",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "P4451",
            "primary": false
        },
        {
            "code": "207RT0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Transplant Hepatology",
            "state": "CA",
            "license": "C180343",
            "primary": false
        },
        {
            "code": "207RT0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Transplant Hepatology",
            "state": "NV",
            "license": "22749",
            "primary": false
        },
        {
            "code": "207RT0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Transplant Hepatology",
            "state": "TX",
            "license": "P4451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD OF TEXAS",
            "identifier": "8DU043",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.