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LAURENCE HABENICHT M.D.
NPI 1851363618
Specialist in Niles, MI

Active since February 06, 2006PECOS Enrolled
42 N SAINT JOSEPH AVE, SUITE100, NILES, MI 49120(269) 684-6696(269) 684-5286 Get Directions Write a Review

NPPES record last updated: March 11, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Laurence Habenicht M.d. NPPES

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

LAURENCE HABENICHT M.D. (NPI 1851363618) is an individual specialist in Niles, Michigan, licensed in Michigan (4301074430) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851363618
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameLAURENCE HABENICHTCredential: M.D.
Location Address42 N SAINT JOSEPH AVE, SUITE100Niles, MI 49120-2203
Mailing Address42 N Saint Joseph Ave, Suite100Niles, MI 49120-2203 · (269) 684-6696 · Fax (269) 684-5286
Phone(269) 684-6696
Fax(269) 684-5286
Sole ProprietorNo
Enumeration DateFebruary 6, 2006
Last NPPES UpdateMarch 11, 2016
✔ NPI 1851363618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MI · 4301074430
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedSurgeryTaxonomy 208600000X · License 4301074430 (MI)
42 N SAINT JOSEPH AVE, Niles, MI 49120
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Other Identifiers 3

Medicare PINMI2051003MI
Medicare UPINA50262MI
Medicaid411815210MI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laurence Habenicht M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 16

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

LAKELAND MEDICAL PRACTICES
Clinic/Center
42 N SAINT JOSEPH AVE, SUITE 300
NILES, MI 49120
Berrien County (269) 687-2910
LAURIE ANN GEE NP
Nurse Practitioner (Obstetrics & Gynecology)
42 N SAINT JOSEPH AVE, SUITE 201
NILES, MI 49120
Berrien County (269) 687-0808
ELIZABETH ZECH NP
Nurse Practitioner (Obstetrics & Gynecology)
42 N SAINT JOSEPH AVE, SUITE 201
NILES, MI 49120
Berrien County (269) 687-0808
KENNETH WALTER KAUFMANN II M.D.
Obstetrics & Gynecology
42 N SAINT JOSEPH AVE, SUITE 201
NILES, MI 49120
Berrien County (269) 687-0808
LAKELAND MEDICAL PRACTICES
Clinic/Center
42 N SAINT JOSEPH AVE, SUITE 100
NILES, MI 49120
Berrien County (269) 684-6696
DR. HELENE M JOHNSON MD
General Practice
42 N SAINT JOSEPH AVE, SUITE 200
NILES, MI 49120
Berrien County (269) 687-0808
DR. EDWARD DAVID LANIGAN M.D.
Preventive Medicine (Undersea and Hyperbaric Medicine)
42 N SAINT JOSEPH AVE, SUITE 103
NILES, MI 49120
Berrien County (269) 683-8070
LAKELAND MEDICAL PRACTICES
Clinic/Center
42 N SAINT JOSEPH AVE, SUITE 101
NILES, MI 49120
Berrien County (269) 687-4673

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 Laurence Habenicht's NPI number?

The NPI number for Laurence Habenicht is 1851363618. It was assigned to this individual provider in the NPPES registry on February 6, 2006.

Where is Laurence Habenicht located?

Laurence Habenicht practices at 42 N Saint Joseph Ave Suite100, Niles, MI 49120. The listed phone number is (269) 684-6696.

What is Laurence Habenicht's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Laurence Habenicht enrolled in Medicare?

Yes. Laurence Habenicht is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Laurence Habenicht was last updated on March 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.