Individual provider Active NPI

Ahsan Habib, PA

  • Physician Assistant
  • Lanham, MD
National Provider Identifier
1922351642
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
016052-1 Issued in NY
Practice address
8118 Good Luck Rd
Lanham, MD 20706-3574
Phone
(301) 552-8865
NPI assigned
Oct 18, 2012
Last updated
Sep 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 016052-1 NY Primary

Addresses

Primary practice location

8118 Good Luck Rd
Lanham, MD 20706-3574

Mailing address

13117 Twilight CT
Germantown, MD 20874-1163
Phone (240) 418-9366

Other practice location 1

2510 30th Ave
Mount Sinai Hospital of Queens
Long Island City, NY 11102
Phone (718) 932-7151

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Lanham Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160506000376 DC Practitioner - Physician Assistant 7810134020 Reassigns benefits to 2 organizations
I20180731003753 MD Practitioner - Physician Assistant 7810134020 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Urgent Care LLCGroup PAC ID 9335303155, 300 clinicians

Practice addresses (Care Compare)

11915 Georgia Ave
Wheaton, MD 20902-2065
Phone (301) 942-4505

12111 Darnestown Rd
Gaithersburg, MD 20878-3211
Phone (301) 926-3095

12220 Rockville Pike
Rockville, MD 20852-1608
Phone (301) 881-0103

18045 Georgia Ave
Olney, MD 20832-2237
Phone (301) 774-8026

19777 Frederick Rd
Germantown, MD 20876-1307
Phone (240) 388-9314

201 Shorebird St
Suite B
Frederick, MD 21701-1962
Phone (240) 422-8112

3064 Waldorf Market PL
Waldorf, MD 20603-4871
Phone (301) 932-5960

350 Fortune Ter
Suite D
Potomac, MD 20854-2910
Phone (443) 584-5323

4507 Stanford St
Bethesda, MD 20815-5205
Phone (443) 302-9258

882 Muddy Branch Rd
Gaithersburg, MD 20878-2780
Phone (301) 216-1245

Merit-based Incentive Payment System (MIPS)

Final score
81.6 of 100Reported as group
Quality
76.36
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
016052NYMDMassage Therapist
016052-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. CurrentSince Sep 1, 2016 Accepting new patients
Medstar Urgent Care LLC CurrentSince Dec 1, 2020 Accepting new patients
Medstar Urgent Care, LLC CurrentSince Dec 1, 2020 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Sep 1, 2016 Accepting new patients
Bimc Faculty Practice Physician Assistant Past Accepting new patients

Locations

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

882 Muddy Branch Rd
Gaithersburg, MD 20878
Phone (410) 721-0311

7698 Dorchester Blvd
Ste 204
Hanover, MD 21076

8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608

12220 Rockville Pike
Rockville, MD 20852
Phone (301) 468-6483

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

3350 Crain Hwy
Waldorf, MD 20603
Phone (443) 332-4260

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1922351642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13117 TWILIGHT CT",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741163",
            "telephone_number": "240-418-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8118 GOOD LUCK RD",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063574",
            "telephone_number": "301-552-8865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2510 30th Ave",
            "address_2": "MOUNT SINAI HOSPITAL OF QUEENS",
            "address_purpose": "LOCATION",
            "city": "Long Island City",
            "state": "NY",
            "postal_code": "11102",
            "country_code": "US",
            "telephone_number": "718-932-7151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HABIB",
        "first_name": "AHSAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-18",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "016052-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lanham",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8118 Good Luck Rd",
            "city": "Lanham",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207063574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

Verify at the official NPI Registry.