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GHAYAS ALI HABACH M.D., M.P.H.
NPI 1467434373
Internal Medicine - Nephrology in Sylacauga, AL

Active since November 16, 2005PECOS EnrolledAccepts Medicare Assignment
291 JAMES PAYTON BLVD, SYLACAUGA, AL 35150(256) 249-0028(256) 249-0019 Get Directions Write a Review

NPPES record last updated: October 18, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ghayas Ali Habach M.d., M.p.h. NPPES

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

GHAYAS ALI HABACH M.D., M.P.H. (NPI 1467434373) is an individual nephrology provider in Sylacauga, Alabama, licensed in Alabama (17714) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1467434373
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameGHAYAS ALI HABACHCredential: M.D., M.P.H.
Location Address291 JAMES PAYTON BLVDSylacauga, AL 35150-8047
Mailing AddressPo Box 2038Sylacauga, AL 35150-5038 · (256) 249-0028 · Fax (256) 249-0019
Phone(256) 249-0028
Fax(256) 249-0019
Sole ProprietorYes
Medical School CMSOtherGraduated 1985
Enumeration DateNovember 16, 2005
Last NPPES UpdateOctober 18, 2013
✔ NPI 1467434373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in AL · 17714
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
291 JAMES PAYTON BLVD, Sylacauga, AL 35150
Open in Google Maps ↗

Other Identifiers 18

Other51536048AL · Bcbs Tall Clinic
Medicare NSC4675830001AL
Other51504549Bc/bs - Sylacauga
Medicaid009940116AL
Medicaid009974915AL
Medicaid529927850AL
Other51517000Bc/bs - Goodwater
Other51536235AL · Bcbs - Cburg
Medicare ID-Type Unspecified000077420
Medicaid529908510AL
Other51523146Bc/bs - Landmark Dialysis
Medicare UPINF10767
Medicaid009974925AL
Medicaid543928002AL
Other51524305Bc/bs - Citizens Hospital
Medicaid000077420AL
Medicaid009939531AL
Medicaid540003928AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ghayas Ali Habach M.d., M.p.h. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618866179
PECOS Enrollment IDI20050316000771
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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
272 services90 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
150 services78 patients
Telehealth originating site facility fee Q3014
The Telehealth originating site facility fee is a charge for the location where you receive your telehealth service, such as a clinic or hospital. It covers costs like equipment use, technical support, and other resources needed to provide a secure, effective telehealth visit.
72 services33 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
33 services12 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
32 services17 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
31 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35150 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers18 claims66 services$5.90 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

MERIT HEALTH CARE, PC
Internal Medicine (Nephrology)
291 JAMES PAYTON BLVD
SYLACAUGA, AL 35150
Talladega County (256) 249-0028
SANDRA MARY ANN SOARES M.D.
Pediatrics
291 JAMES PAYTON BLVD
SYLACAUGA, AL 35150
Talladega County (256) 245-0297
SOUTHEAST CANCER NETWORK, INC
Radiology (Radiation Oncology)
291 JAMES PAYTON BLVD
SYLACAUGA, AL 35150
Talladega County (256) 245-0297
DEBORAH HOLDERFIELD CRNP
Nurse Practitioner (Adult Health)
291 JAMES PAYTON BLVD
SYLACAUGA, AL 35150
Talladega County (256) 249-0028

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 Ghayas Habach's NPI number?

The NPI number for Ghayas Habach is 1467434373. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Where is Ghayas Habach located?

Ghayas Habach practices at 291 James Payton Blvd, Sylacauga, AL 35150. The listed phone number is (256) 249-0028.

What is Ghayas Habach's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Ghayas Habach enrolled in Medicare?

Yes. Ghayas Habach is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ghayas Habach accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Ghayas Habach as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ghayas Habach was last updated on October 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.