NPIMap

Individual provider Active NPI

Nabeeh Hauter, M.D.

  • Internal Medicine Physician
  • Fayetteville, NC
National Provider Identifier
1972966729
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2019-01814 Issued in NC
Practice address
1638 Owen Dr
Fayetteville, NC 28304-3424
Phone
(910) 615-5610
Fax
(910) 615-5080
NPI assigned
Mar 30, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 2019-01814 NC Primary

Addresses

Primary practice location

1638 Owen Dr
Fayetteville, NC 28304-3424

Mailing address

3117 41St St
Astoria, NY 11103-3901
Phone (718) 278-5100

Other practice location 1

7901 Broadway # A1-16
Elmhurst, NY 11373-1329
Phone (718) 334-2488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20210208002211 NY Practitioner - Internal Medicine 8921347774 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, 2,809 clinicians
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians
Big Apple Medical Care PLLCGroup PAC ID 4981000379, 7 clinicians

Practice addresses (Care Compare)

3201 Kings Hwy
Brooklyn, NY 11234-2625
Phone (718) 951-2851

375 Seguine Ave
Staten Island, NY 10309-3932
Phone (718) 226-6902

7308 5TH Ave
Brooklyn, NY 11209-2604
Phone (718) 333-5120

Hospital & facility affiliations

  • Mount Sinai Beth Israel Hospital, New York, NY, CCN 330169
  • Staten Island University Hospital Hospital, Staten Island, NY, CCN 330160
  • Mount Sinai Hospital Hospital, New York, NY, CCN 330024

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 4, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai Internal Medicine CurrentSince Jan 4, 2022 Accepting new patients
North Shore-Lij Medical PC Internal Medicine CurrentSince Jul 29, 2022 Accepting new patients
Steinway Medical Associates, P.C. Internal Medicine CurrentSince Feb 1, 2021 Accepting new patients
Big Apple Medical Care PLLC Internal Medicine CurrentSince May 6, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai Internal Medicine Current Accepting new patients
Staten Island University Hospital Past Accepting new patients
Beth Israel Medical Center Past Accepting new patients
Beth Israel Medical Center Past Accepting new patients

Locations

3201 Kings Hwy
Brooklyn, NY 11234
Phone (718) 252-3000

7322 5th Ave
Brooklyn, NY 11209
Phone (718) 333-5120

7308 5th Ave
Brooklyn, NY 11209
Phone (718) 333-5120

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

300 Community Dr
Plandome, NY 11030

375 Seguine Ave
Staten Island, NY 10309
Phone (718) 226-2000

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: nhauter66178@northwell.direct-ci.com
  • Direct secure messaging: nhauter70819@capefearvalley.direct-ci.com

Organizations & group practices 9

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.

Hospital & facility affiliations 10

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": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1972966729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3117 41ST ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033901",
            "telephone_number": "718-278-5100",
            "fax_number": "718-278-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043424",
            "telephone_number": "910-615-5610",
            "fax_number": "910-615-5080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7901 Broadway # A1-16",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "113731329",
            "country_code": "US",
            "telephone_number": "718-334-2488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAUTER",
        "first_name": "NABEEH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-30",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2019-01814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.