NPIMap

Individual provider Active NPI

Haneen Aibak, MD

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1932362076
Registry record updated Aug 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD60270960 Issued in WA
Practice address
3001 S Hanover St
Baltimore, MD 21225-1233
Phone
(410) 350-3565
NPI assigned
Jul 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD60270960 WA Primary

Addresses

Primary practice location

3001 S Hanover St
Baltimore, MD 21225-1233

Mailing address

3001 S Hanover St
Baltimore, MD 21225-1233
Phone (410) 350-3565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120731000816 WA Practitioner - Internal MedicinePractitioner - Hospitalist 6103082458 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

413 Lilly Rd NE
Olympia, WA 98506-5133
Phone (360) 493-4083

700 Lilly Rd NE
Olympia, WA 98506-5115
Phone (360) 923-7000

Hospital & facility affiliations

  • Providence St Peter Hospital Hospital, Olympia, WA, CCN 500024
  • Providence Centralia Hospital Hospital, Centralia, WA, CCN 500019
  • Puget Sound Care Nursing home, Olympia, WA, CCN 505299
  • Willapa Harbor Care Nursing home, Raymond, WA, CCN 505349

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Medical Center Specialty Physicians, LLC CurrentSince Aug 1, 2012 Accepting new patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Mar 27, 2017 Accepting new patients
Abx Medical PLLC Internal Medicine Current Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Jan 7, 2025 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Jan 7, 2025 Accepting new patients
Providence Health & Services Washington CurrentSince Sep 1, 2017 Accepting new patients
Providence Health & Services Washington Past Accepting new patients
Puget Sound Healthcare-Olympia, LLC Past Accepting new patients
Willapa Nursing & Rehab LLC Past Accepting new patients
Woodard Creek Healthcare LLC Past Accepting new patients
Providence Health & Services Washington Past Accepting new patients

Locations

2901 Squalicum Pkwy
Bellingham, WA 98225
Phone (360) 734-5400

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

14701 179th Ave SE
Monroe, WA 98272
Phone (360) 794-1409

413 Lilly Rd NE
Olympia, WA 98506
Phone (360) 491-9480

700 Lilly Rd NE
Olympia, WA 98506
Phone (360) 923-7000

3900 Capital Mall Dr SW
Olympia, WA 98502
Phone (360) 704-4743

525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

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 5

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": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345161600000",
    "number": "1932362076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 S HANOVER ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212251233",
            "telephone_number": "410-350-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 S HANOVER ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212251233",
            "telephone_number": "410-350-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AIBAK",
        "first_name": "HANEEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2012-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60270960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.