Individual provider Active NPI

Joseph Reza Habibi, MD

  • Urology Physician
  • Williamsburg, VA
National Provider Identifier
1912227471
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
0101258323 Issued in VA
Practice address
5424 Discovery Park Blvd
Suite 203
Williamsburg, VA 23188-2904
Phone
(757) 345-6223
Fax
(757) 903-4808
NPI assigned
Jun 8, 2010
Last updated
Jan 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 0116022424 VA
Urology Physician 208800000X MD28577 ME
Urology Physician 208800000X 0101258323 VA Primary

Addresses

Primary practice location

5424 Discovery Park Blvd
Suite 203
Williamsburg, VA 23188-2904

Mailing address

5424 Discovery Park Blvd
Suite 203
Williamsburg, VA 23188-2904
Phone (757) 345-6223

Other practice location 1

3 Glen Cove Dr Ste 3
Rockport, ME 04856-4232
Phone (207) 301-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, ME2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20150908000662 VA Practitioner - Urology 3476793761 Reassigns benefits to 1 organization
I20241219002952 ME Practitioner - Urology 3476793761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Virginia Commonwealth University, School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

3 Glen Cove Dr
Rockport, ME 04856-4232

408 16TH St
West Point, VA 23181-9577
Phone (804) 843-3131

4125 Ironbound Rd
Suite 200
Williamsburg, VA 23188-2666
Phone (757) 345-2829

6 Glen Cove Dr
Rockport, ME 04856-4272
Phone (207) 921-8969

860 Omni Blvd
Newport News, VA 23606-4430

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection46
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD28577MEMDUrology Physician
0101258323VAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Feb 2, 2025 Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Aug 1, 2015 Accepting new patients
Mainehealth CurrentSince Feb 2, 2025 Accepting new patients
Mainehealth Current Accepting new patients
Tidewater Physicians Multispecialty Group PC Urology CurrentSince Aug 1, 2015 Accepting new patients
Digestive Disease Center of Virginia, PC Past Accepting new patients

Locations

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

3 Glen Cove Dr
#3
Rockport, ME 04856
Phone (207) 301-5400

729 Thimble Shoals Blvd
Newport News, VA 23606
Phone (757) 874-1077

827 Diligence Dr
Ste 100
Newport News, VA 23606

860 Omni Blvd
Ste 105
Newport News, VA 23606
Phone (757) 873-0952

860 Omni Blvd
Ste 303
Newport News, VA 23606
Phone (757) 232-8777

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD
  • Direct secure messaging: jhabibi893562@direct.mmc.mainehealth.org

Organizations & group practices 6

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 6

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": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1912227471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5424 DISCOVERY PARK BLVD",
            "address_2": "SUITE 203",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882904",
            "telephone_number": "757-345-6223",
            "fax_number": "757-903-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5424 DISCOVERY PARK BLVD",
            "address_2": "SUITE 203",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882904",
            "telephone_number": "757-345-6223",
            "fax_number": "757-903-4808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Glen Cove Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "Rockport",
            "state": "ME",
            "postal_code": "048564232",
            "country_code": "US",
            "telephone_number": "207-301-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HABIBI",
        "first_name": "JOSEPH",
        "middle_name": "REZA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-08",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116022424",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "ME",
            "license": "MD28577",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "VA",
            "license": "0101258323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.