Ameen Habash, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

P1459 Issued in TX

Practice address

1100 E Southlake Blvd Ste 250
Southlake, TX 76092-6350

Phone

(817) 484-0222

Fax

(817) 484-0223

NPI assigned

Oct 10, 2006

Last updated

Feb 13, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Plastic and Reconstructive Surgery

Education

University of Cincinnati College of Medicine, 2002

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Habash MD

  • Plastic Surgery Physician
  • Southlake, TX
  • NPI 1134463474
  Medicare reassignment NPD Authorized official
• Rockcastle County Hospital, Inc.

  dba Rockcastle Regional Hospital and Respiratory Care Center

  • General Acute Care Hospital
  • Mount Vernon, KY
  • NPI 1104890714
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1952498826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190922",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752190922",
            "telephone_number": "817-416-9980",
            "fax_number": "817-481-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E SOUTHLAKE BLVD STE 250",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926350",
            "telephone_number": "817-484-0222",
            "fax_number": "817-484-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABASH",
        "first_name": "AMEEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "P1459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lesley Gutierrez, RBT
• Camisha Nicole Guy
• Gregory T Guzman, DC
• Natalie Guzman
• Habash MD
• Jasmine Habeeb, LPC-ASSOCIATE
• Evelyn Hagedoorn
• Tina Haitz
• Mallory Renae Hale, PMHNP-BC
• April Haley, LMFT

• Plastic Surgery Physician in Southlake, TX
• Providers in Southlake, TX by specialty
• Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.