Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HANI HABAL M.D.
NPI 1912101684
Internal Medicine - Rheumatology in Peoria, IL

Active since June 14, 2007PECOS EnrolledAccepts Medicare Assignment
82.94/100
CMS Quality Rating
200 E PENNSYLVANIA AVE, SUITE 101, PEORIA, IL 61603(562) 552-7404 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Hani Habal M.d. NPPES

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

HANI HABAL M.D. (NPI 1912101684) is an individual rheumatology provider in Peoria, Illinois, licensed in Illinois (036125450) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Phoebe Putney Memorial Hospital, and maintains a secondary practice location in Peoria.

NPPES Registry Identity

NPI1912101684
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameHANI HABALCredential: M.D.
Location Address200 E PENNSYLVANIA AVE, SUITE 101Peoria, IL 61603-3089
Mailing Address200 E Pennsylvania Ave, Suite 101Peoria, IL 61603-3089 · (562) 552-7404
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJune 14, 2007
Last NPPES UpdateSeptember 18, 2026
NPPES CertifiedSeptember 18, 2026
✔ NPI 1912101684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in IL · 036125450
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
200 E PENNSYLVANIA AVE, Peoria, IL 61603

Secondary Practice Location 1

Location 13525 N University StPeoria, IL 61604-1324 · Phone (309) 886-9172 · Fax (309) 703-2048

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hani Habal M.d. 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 ID4880835032
PECOS Enrollment IDI20130730000888, I20240924002491, I20241010002214, I20260220003009
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 Reassignments

6

Medicare enrollment records show Hani Habal reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
Physical Therapy
106 5TH ST SOUTH
Walker, MN 56484
  • Reassigned Medicare billing, Minnesota enrollment
  • 607 clinicians in this Medicare group
Clinic/Center
2740 RAY KNIGHT WAY, STE 100
Albany, GA 31707
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Phoebe Physician Group Inc
  • 1,118 clinicians in this Medicare group
Hematology & Oncology
507 W 3RD AVE, STE 100
Albany, GA 31701
  • Reassigned Medicare billing, Georgia enrollment
  • 264 clinicians in this Medicare group
General Acute Care Hospital
300 MAIN ST
Lewiston, ME 04240
  • Reassigned Medicare billing, Maine enrollment
  • 920 clinicians in this Medicare group
General Acute Care Hospital
3269 N STOCKTON HILL RD
Kingman, AZ 86409
  • Reassigned Medicare billing, Arizona enrollment
  • 418 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 2

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.
36 services34 patients
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.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Phoebe Putney Memorial Hospital

Acute Care Hospitals · Albany, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110007
Location417 Third AvenueAlbany, GA 31703 · Dougherty County
Emergency services Birthing friendly

Osf Little Company Of Mary Medical Center

Acute Care Hospitals · Evergreen Park, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140179
Location2800 W 95th StEvergreen Park, IL 60805 · Cook County
Emergency services Birthing friendly

Sanford Bemidji Medical Center

Acute Care Hospitals · Bemidji, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240100
Location1300 Anne St NWBemidji, MN 56601 · Beltrami County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61603 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.01
Promoting Interoperability100
Improvement Activities40
Cost65.57

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.

Psychiatry & Neurology (Neurology)
200 E PENNSYLVANIA AVE
PEORIA, IL 61603
Audiologist
200 E PENNSYLVANIA AVE
PEORIA, IL 61603
Transplant Surgery
200 E PENNSYLVANIA AVE, SUITE 212
PEORIA, IL 61603
Internal Medicine
200 E PENNSYLVANIA AVE, STE 105
PEORIA, IL 61603
Internal Medicine (Nephrology)
200 E PENNSYLVANIA AVE, SUITE 212
PEORIA, IL 61603
Physician Assistant
200 E PENNSYLVANIA AVE
PEORIA, IL 61603
Psychiatry & Neurology (Neurology)
200 E PENNSYLVANIA AVE
PEORIA, IL 61603
Nurse Practitioner
200 E PENNSYLVANIA AVE
PEORIA, IL 61603

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 Hani Habal's NPI number?

The NPI number for Hani Habal is 1912101684. It was assigned to this individual provider in the NPPES registry on June 14, 2007.

Where is Hani Habal located?

Hani Habal practices at 200 E Pennsylvania Ave Suite 101, Peoria, IL 61603. The listed phone number is (562) 552-7404.

What is Hani Habal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Hani Habal enrolled in Medicare?

Yes. Hani Habal 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.

Which organizations bill Medicare for Hani Habal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hani Habal reassigns Medicare benefits to 6 organizations: Osf Multi-Specialty Group (Peoria, IL), Sanford Health Of Northern Minnesota (Walker, MN), Phoebe Gastroenterology Associates (Albany, GA), Phoebe Putney Memorial Hospital (Albany, GA), Central Maine Medical Center (Lewiston, ME) and 1 more organization, listed in the Medicare section above. Each 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 Hani Habal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hani Habal accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona, CareSource, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Hani Habal 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.

Is Hani Habal affiliated with any hospitals?

According to CMS data, Hani Habal is affiliated with Phoebe Putney Memorial Hospital, Osf Little Company Of Mary Medical Center and Sanford Bemidji Medical Center.

When was this NPI record last updated?

The NPPES record for Hani Habal was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.