Individual provider Active NPI

Marko Habekovic, MD

  • Ophthalmology Physician
  • Grand Rapids, MI
National Provider Identifier
1992748198
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301076276 Issued in MI
Practice address
1000 E Paris Ave SE Ste 111
Grand Rapids, MI 49546-3680
Phone
(616) 222-4111
Fax
(616) 222-4119
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301076276 MI Primary

Addresses

Primary practice location

1000 E Paris Ave SE Ste 111
Grand Rapids, MI 49546-3680

Mailing address

1000 E Paris Ave SE Ste 111
Grand Rapids, MI 49546-3680
Phone (616) 222-4111

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Marko.Habekovic@epic00.shdirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040816001142 MI Practitioner - Ophthalmology 2668445826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wayne State University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1000 E Paris Ave SE
Suite 111
Grand Rapids, MI 49546-3680
Phone (616) 222-4117

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Marko Habekovic MD, PLLC Ophthalmology CurrentSince Oct 1, 2018 Accepting new patients

Locations

1000 East Paris Ave SE
Ste 111
Grand Rapids, MI 49546
Phone (616) 222-4117

Interoperability endpoints

  • Direct secure messaging: mhabekovic7988@epic00.corewelldirect.org
  • Direct secure messaging: marko.habekovic@epic00.shdirect.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1992748198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E PARIS AVE SE STE 111",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463680",
            "telephone_number": "616-222-4111",
            "fax_number": "616-222-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E PARIS AVE SE STE 111",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463680",
            "telephone_number": "616-222-4111",
            "fax_number": "616-222-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABEKOVIC",
        "first_name": "MARKO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301076276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Marko.Habekovic@epic00.shdirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1000 E Paris Ave SE Ste 111",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495463680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.