Individual provider Active NPI

Shahid Habib, MD

  • Transplant Hepatology Physician
  • Seattle, WA
National Provider Identifier
1982665154
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Hepatology PhysicianTaxonomy code 207RT0003X
License
MD61516162 Issued in WA
Practice address
1124 Columbia St Ste 600
Seattle, WA 98104-2046
Phone
(206) 386-3660
Fax
(206) 386-3644
NPI assigned
Mar 29, 2006
Last updated
Jan 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 43691 AZ
Gastroenterology Physician 207RG0100X 4641 WI
Gastroenterology Physician 207RG0100X 14197 NV
Hepatology Physician 207RI0008X 4641 WI
Hepatology Physician 207RI0008X 43691 AZ
Transplant Hepatology Physician 207RT0003X MD61516162 WA Primary

Addresses

Primary practice location

1124 Columbia St Ste 600
Seattle, WA 98104-2046

Mailing address

PO Box 25608
Salt Lake City, UT 84125-0608
Phone (206) 320-4476

Other identifiers 2

IdentifierTypeStateIssuer
100283913MedicaidWI
2281160MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WA, AK3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20101102000520 AZ Practitioner - GastroenterologyPractitioner - Internal MedicinePractitioner - Other (Physician) 7214977289 Reassigns benefits to 4 organizations
I20240415003682 WA Practitioner - Internal MedicinePractitioner - Other (Physician) 7214977289 Reassigns benefits to 1 organization
I20260317002132 AK Practitioner - Gastroenterology 7214977289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1987
Medicare assignment
May accept Medicare assignment
Group practices
Bisbee Hospital AssociationGroup PAC ID 5092626168, shared by 4 NPIs, 69 clinicians
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians

Practice addresses (Care Compare)

101 Cole Ave
Bisbee, AZ 85603-1327
Phone (520) 432-5383

10524 E Hwy 92
Hereford, AZ 85615-8371
Phone (520) 366-0300

1124 Columbia St
Suite 600
Seattle, WA 98104-2046
Phone (206) 386-3660

3232 E Speedway Blvd
Tucson, AZ 85716-3934
Phone (520) 382-5972

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14197NVMDGastroenterology Physician
MD61516162WAMDTransplant Hepatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bisbee Hospital Association CurrentSince Jan 1, 2024 Accepting new patients
Arctic Slope Native Association LTD CurrentSince Jan 1, 2025 Accepting new patients
Aurora Medical Group, Inc. Internal Medicine Current Accepting new patients
Bisbee Hospital Association CurrentSince Jan 1, 2024 Accepting new patients
Fatty Liver Clinic PLLC CurrentSince Jan 13, 2025 Accepting new patients
Swedish Health Services Internal Medicine CurrentSince Apr 28, 2024 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

101 Cole Ave
Bisbee, AZ 85603
Phone (520) 432-5383

100 E 5th St
Douglas, AZ 85607
Phone (520) 364-7659

10524 E Highway 92
Hereford, AZ 85615
Phone (520) 366-0300

3232 E Speedway Blvd
Tucson, AZ 85716
Phone (520) 382-5972

3238 E Speedway Blvd
Tucson, AZ 85716
Phone (520) 651-2503

7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800

1124 Columbia St
Ste 600
Seattle, WA 98104
Phone (206) 386-3660

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

2900 W Oklahoma Ave
Milwaukee, WI 53215
Phone (414) 385-2590

Organizations & group practices 8

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 4

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1982665154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25608",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841250608",
            "telephone_number": "206-320-4476",
            "fax_number": "206-568-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 COLUMBIA ST STE 600",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042046",
            "telephone_number": "206-386-3660",
            "fax_number": "206-386-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABIB",
        "first_name": "SHAHID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "43691",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WI",
            "license": "4641",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NV",
            "license": "14197",
            "primary": false
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "WI",
            "license": "4641",
            "primary": false
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "AZ",
            "license": "43691",
            "primary": false
        },
        {
            "code": "207RT0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Transplant Hepatology",
            "state": "WA",
            "license": "MD61516162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100283913",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2281160",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.