KIM HABERER MD
NPI 1306254594
Pediatrics - Pediatric Cardiology in Bronx, NY

Q: What is Kim Haberer's NPI number?

The NPI number for Kim Haberer is 1306254594. It was assigned to this individual provider in the NPPES registry on July 31, 2014.

Q: What is Kim Haberer's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Q: When was this NPI record last updated?

The NPPES record for Kim Haberer was last updated on June 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 31, 2014PECOS Enrolled

3415 BAINBRIDGE AVE, BRONX, NY 10467(718) 741-2387 Get Directions Write a Review

NPPES record last updated: June 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 23, 2021, Dec 21, 2020 (2 updates tracked since 2020).

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About Kim Haberer Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIM HABERER MD (NPI 1306254594) is an individual pediatric cardiology provider in Bronx, New York, licensed in California (131827) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1306254594

Entity TypeIndividualFemale

Primary Taxonomy2080P0202X

Provider Legal NameKIM HABERERCredential: MD

Location Address3415 BAINBRIDGE AVEBronx, NY 10467-2403

Mailing Address8440 112 St Nw,Edmonton, ALBERTA T6G 2B7

Phone(718) 741-2387

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJuly 31, 2014

Last NPPES UpdateJune 23, 20212 updates tracked since enumeration

NPPES CertifiedJune 23, 2021

✔ NPI 1306254594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

License✔ Licensed in CA · 131827

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

3415 BAINBRIDGE AVE, Bronx, NY 10467

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Secondary Practice Locations 2

Location 1505 Parnassus Ave, Moffitt Room 1235, Box 0544San Francisco, CA 94143-0544 · Phone (415) 476-1802

Location 28440n 112 St NWEdmonton, Alberta T6G 2B7 · Phone (647) 640-0443

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kim Haberer Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113210493

PECOS Enrollment IDI20210729000192

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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