Look up the most recent NPI and PECOS records

Bemen Habashi

Internal Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider Bemen Habashi is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:14 PM.

Profile Details

Provider ID
1487159877
Provider Type
Individual
Full Name
Habashi, Bemen
Gender
Male

Sole Proprietor
No
Enumeration Date
3/27/2018
Last Updated
7/24/2024

Contact Information

Practice Location

20 York St, New Haven, CT 06510-3202

(203) 688-1734

(475) 246-9106

Mailing Location

20 York St, New Haven, CT 06510-3202

(203) 688-1734

(475) 246-9106

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 69273 Connecticut
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License MD-51425 Iowa
Code 208M00000X	Description Hospitalist Allopathic & Osteopathic Physicians	License MD-51425 Iowa

Bemen Habashi

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Fajardo, Elaine C.

Rodriguez, Marie Anjeliese

Terry, Bryan Albert

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Mongillo, Frank Joseph

Tiu, Aaron Joseph Kho

Thakore, Sanket Rajendrakumar

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Matteson, Kelsey

Heard, Alex John