Individual provider Active NPI

Murtuza H Habeeb, MD

  • Vascular Surgery Physician
  • Boise, ID
National Provider Identifier
1881897205
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
2261978 Issued in ID
Practice address
1075 N Curtis Rd Ste 101
Boise, ID 83706-1348
Phone
(208) 302-2800
Fax
(208) 302-2825
NPI assigned
Jun 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 036116332 IL
Vascular Surgery Physician 2086S0129X LT-3493 NH
Vascular Surgery Physician 2086S0129X 2261978 ID Primary

Addresses

Primary practice location

1075 N Curtis Rd Ste 101
Boise, ID 83706-1348

Mailing address

789 Central Avenue
Dover, NH 03820-2526
Phone (603) 516-4265

Other practice location 1

19 Old Rollinsford Road
Building B
Dover, NH 03820-2827
Phone (603) 516-4265

Other identifiers 2

IdentifierTypeStateIssuer
3075555MedicaidNH
P01116488OtherNHRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH, MO, ID4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20161028001095 KY Practitioner - Vascular Surgery 0345370664 Reassigns benefits to 2 organizations
I20190124001875 OH Practitioner - Vascular Surgery 0345370664 Reassigns benefits to 3 organizations
I20230105000940 MO Practitioner - Vascular Surgery 0345370664 Reassigns benefits to 1 organization
I20240918000860 ID Practitioner - Vascular Surgery 0345370664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Physicians of Blanchard Valley LLCGroup PAC ID 2668547613, 117 clinicians

Practice addresses (Care Compare)

1900 S Main St
CDS Room 3349
Findlay, OH 45840-1214
Phone (833) 204-3278

Hospital & facility affiliations

  • Blanchard Valley Hospital Hospital, Findlay, OH, CCN 360095

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)31
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2261978IDMDVascular Surgery Physician
LT-3493NHMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Lima Specialty Care LLC CurrentSince Jan 26, 2023 Accepting new patients
Summit Medical Group, Inc. CurrentSince Oct 31, 2016 Accepting new patients
Premier Health Specialists Inc Current Accepting new patients
Summit Medical Group, Inc CurrentSince Oct 31, 2016 Accepting new patients
Specialty Physicians of Blanchard Valley LLC CurrentSince Oct 30, 2024 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Sep 1, 2024 Accepting new patients
Mercy Clinic Joplin LLC CurrentSince Feb 27, 2023 Accepting new patients
Premier Health Specialists Inc CurrentSince Feb 28, 2019 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Sep 1, 2024 Accepting new patients
Premier Health Specialists Inc CurrentSince Feb 28, 2019 Accepting new patients
Blanchard Valley Regional Health Center Past Accepting new patients
Baptist Health Medical Group Inc PastSince Jan 9, 2019 Accepting new patients

Locations

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

1075 N Curtis Rd
Ste 101
Boise, ID 83706
Phone (208) 302-2800

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000

1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700

2300 Chamber Center Dr
Ste 300
Lakeside Park, KY 41017

300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217

238 Barnes Rd
Williamstown, KY 41097
Phone (859) 292-4000

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

100 Mercy Way
Ste 310
Joplin, MO 64804

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

2300 Miami Valley Dr
Ste 350
Dayton, OH 45459
Phone (937) 424-2469

1900 S Main St
Rm 3349
Findlay, OH 45840
Phone (419) 423-3188

1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500

730 W Market St
Ste 2K
Lima, OH 45801
Phone (419) 996-5852

830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960

3170 Kettering Blvd
Fl 3
Moraine, OH 45439

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

Interoperability endpoints

  • Direct secure messaging: mhabeeb3517817@direct.trinity-health.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1881897205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 CENTRAL AVENUE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202526",
            "telephone_number": "603-516-4265",
            "fax_number": "603-740-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 N CURTIS RD STE 101",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061348",
            "telephone_number": "208-302-2800",
            "fax_number": "208-302-2825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Old Rollinsford Road",
            "address_2": "Building B",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "038202827",
            "country_code": "US",
            "telephone_number": "603-516-4265",
            "fax_number": "603-740-2173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HABEEB",
        "first_name": "MURTUZA",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IL",
            "license": "036116332",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NH",
            "license": "LT-3493",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "ID",
            "license": "2261978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3075555",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01116488",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.