SUHEAL HABIBA MD
NPI 1932149416
Family Medicine in Kenosha, WI

Active since June 07, 2006PECOS EnrolledAccepts Medicare Assignment
82.39/100
CMS Quality Rating
10400 75TH ST, KENOSHA, WI 53142(262) 948-7030(262) 948-7033 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Suheal Habiba Md NPPES

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

SUHEAL HABIBA MD (NPI 1932149416) is an individual family medicine provider in Kenosha, Wisconsin, licensed in Wisconsin (53476) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Aurora Medical Center Kenosha, and maintains a secondary practice location in Racine.

NPPES Registry Identity

NPI1932149416
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSUHEAL HABIBACredential: MD
Location Address10400 75TH STKenosha, WI 53142-7884
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Fax(262) 948-7033
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateJune 7, 2006
Last NPPES UpdateFebruary 17, 2025
NPPES CertifiedFebruary 17, 2025
✔ NPI 1932149416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in WI · 53476✔ Licensed in IL · 036114884
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
10400 75TH ST, Kenosha, WI 53142

Secondary Practice Location 1

Location 13801 Spring StRacine, WI 53405-1667 · Phone (262) 687-4011 · Fax (262) 687-7280

Other Identifiers 1

Medicaid100005530WI

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

Suheal Habiba Md 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 ID7315950839
PECOS Enrollment IDI20090925000340
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

5

Medicare enrollment records show Suheal Habiba reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1100 MILWAUKEE AVE
South Milwaukee, WI 53172
  • Reassigned Medicare billing, Wisconsin enrollment
  • 960 clinicians in this Medicare group
Family Medicine
3301 W FOREST HOME AVE
Milwaukee, WI 53215
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
Anesthesiology
2301 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 clinicians in this Medicare group
Emergency Medicine
10625 W NORTH AVE, SUITE 102
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Emergency Medicine Specialists Sc
  • 244 clinicians in this Medicare group
Family Medicine
3003 W GOOD HOPE RD
Milwaukee, WI 53209
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,615 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 4

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.
84 services81 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.
58 services57 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
24 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520189
Location10400 75th StKenosha, WI 53142 · Kenosha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53142 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

82.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.88
Promoting Interoperability81
Improvement Activities40
Cost74.38

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.

Anesthesiology
10400 75TH ST
KENOSHA, WI 53142
Physician Assistant
10400 75TH ST
KENOSHA, WI 53142
Nurse Practitioner (Women's Health)
10400 75TH ST
KENOSHA, WI 53142
Emergency Medicine
10400 75TH ST, AURORA MEDICAL CENTER
KENOSHA, WI 53142
Nurse Anesthetist, Certified Registered
10400 75TH ST
KENOSHA, WI 53142
Nurse Anesthetist, Certified Registered
10400 75TH ST
KENOSHA, WI 53142
Internal Medicine
10400 75TH ST
KENOSHA, WI 53142
Registered Nurse (Critical Care Medicine)
10400 75TH ST
KENOSHA, WI 53142

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 Suheal Habiba's NPI number?

The NPI number for Suheal Habiba is 1932149416. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Suheal Habiba located?

Suheal Habiba practices at 10400 75th St, Kenosha, WI 53142. The listed phone number is (262) 948-7030.

What is Suheal Habiba's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Suheal Habiba enrolled in Medicare?

Yes. Suheal Habiba 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 Suheal Habiba's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suheal Habiba reassigns Medicare benefits to 5 organizations: Lakeshore Medical Clinic Ltd (South Milwaukee, WI), Aurora Medical Group, Inc. (Milwaukee, WI), Ascension Medical Group-Southeast Wisconsin Inc (Milwaukee, WI), Emergency Medicine Specialists, S.C. (Milwaukee, WI) and Aurora Advanced Healthcare, Inc. (Milwaukee, WI). 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 Suheal Habiba's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Suheal Habiba accept?

Health plans from CareSource (Common Ground Healthcare) and UnitedHealthcare list Suheal Habiba 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 Suheal Habiba affiliated with any hospitals?

According to CMS data, Suheal Habiba is affiliated with Aurora Medical Center Kenosha.

When was this NPI record last updated?

The NPPES record for Suheal Habiba was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.