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

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: November 01, 2026.

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

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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Kim Haberer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York University
1,050 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ASHLEY RAE NOBOA MSN, FNP-C
Nurse Practitioner (Family)
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 920-7200
MADELEINE ANN STEINHAUER RN
Registered Nurse
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (914) 417-7684
MOHAMMED AMIN FADOL AMIN
Pediatrics (Pediatric Nephrology)
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 741-2426
BASIRAT SHOBERU PHARMD, BCPPS
Pharmacist (Pediatrics)
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 528-2254
DR. OMOTOLA ADETOUN AKINTOLA MD, MPH
Student in an Organized Health Care Education/Training Program
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 741-2426
SARAH LOIS RADER MD
Pediatrics
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 741-2426
MAHESH KUMAR ATHWANI MD
Student in an Organized Health Care Education/Training Program
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 920-3000
MARGARET FARRELLY COLLINS FRUZZETTI CPNP
Nurse Practitioner (Pediatrics)
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 741-2150

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Kim Haberer located?

Kim Haberer practices at 3415 Bainbridge Ave, Bronx, NY 10467. The listed phone number is (718) 741-2387.

What is Kim Haberer's specialty?

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

Is Kim Haberer enrolled in Medicare?

Yes. Kim Haberer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kim Haberer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kim Haberer reassigns Medicare benefits to New York University (Boynton Beach, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kim Haberer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kim Haberer was last updated on June 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.