Individual provider Active NPI

Robert J Habicht, MD

  • Internal Medicine Physician
  • Lutherville, MD
National Provider Identifier
1982735908
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D67219 Issued in MD
Practice address
1734 York Rd
Lutherville, MD 21093-5606
Phone
(410) 252-2273
Fax
(443) 275-5225
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X D67219 MD
Internal Medicine Physician 207R00000X D67219 MD Primary

Addresses

Primary practice location

1734 York Rd
Lutherville, MD 21093-5606

Mailing address

1734 York Rd
Lutherville, MD 21093-5606
Phone (410) 252-2273

Other practice location 1

11121 York Rd
Hunt Valley, MD 21030-2006
Phone (410) 628-0026

Other identifiers 3

IdentifierTypeStateIssuer
414669700MedicaidMD
S062-0330OtherMDCAREFIRST BC/BS REGIONAL
935906-01OtherMDCAREFIRST BC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20080716000607 MD Practitioner - Pediatric MedicinePractitioner - Internal Medicine 2062585565 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Internal Medicine
Education
University of Maryland School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians
Maryland Family Care IncGroup PAC ID 5092629394, 157 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Suite a
Forest Hill, MD 21050-1758

1734 York Rd
Lutherville, MD 21093-5606
Phone (410) 252-2273

2600 Compass Rd
Glenview, IL 60026-8001

Hospital & facility affiliations

  • Stella Maris, Inc. Home health agency, Timonium, MD, CCN 217072
  • Bayada Home Health Care, Inc. Home health agency, Towson, MD, CCN 217101
  • Mercy Medical Center Inc Hospital, Baltimore, MD, CCN 210008
  • University of MD St Joseph Medical Center Hospital, Towson, MD, CCN 210063
  • Johns Hopkins Hospital, the Hospital, Baltimore, MD, CCN 210009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D67219MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Pediatric Associates, PA CurrentSince Jun 1, 2011 Accepting new patients
University of Maryland Physicians P.a. CurrentSince Jul 14, 2008 Accepting new patients
University of Maryland Physicians P.a. Current Accepting new patients
University of Maryland Physicians P.a. Current Accepting new patients
University of Maryland Physicians PA Internal Medicine Current Accepting new patients
Maryland Family Care, Inc. Internal Medicine CurrentSince Oct 29, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

11121 York Rd
Hunt Valley, MD 21030
Phone (410) 628-0026

7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654

1734 York Rd
Timonium, MD 21093
Phone (410) 252-2273

Interoperability endpoints

  • Direct secure messaging: rhabicht91310@direct.mdmercy.com
  • Direct secure messaging: rhabicht672@direct.umm.edu

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 8

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1982735908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1734 YORK RD",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935606",
            "telephone_number": "410-252-2273",
            "fax_number": "443-275-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1734 YORK RD",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935606",
            "telephone_number": "410-252-2273",
            "fax_number": "443-275-5225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11121 York Rd",
            "address_purpose": "LOCATION",
            "city": "Hunt Valley",
            "state": "MD",
            "postal_code": "210302006",
            "country_code": "US",
            "telephone_number": "410-628-0026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HABICHT",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MD",
            "license": "D67219",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D67219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "414669700",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC/BS REGIONAL",
            "identifier": "S062-0330",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC/BS",
            "identifier": "935906-01",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

Verify at the official NPI Registry.