DR. HABIB AHMAD HAIDARY (MD) – Family Medicine Physician, NPI 1124657580

DR. HABIB AHMAD HAIDARY (MD) is a healthcare provider. based in West covina, California. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. A182110 (CA). The NPI Number for DR. HABIB AHMAD HAIDARY (MD) is 1124657580

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. HABIB AHMAD HAIDARY (MD)
NPI
1124657580
Phone
Not provided
Address
1115 S SUNSET AVE
Enumeration Date
7 April 2020
Last Update Date
28 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7142022330
Graduation Year
2019 (7 years ago)
PAC ID
7911369855
Group Practice PAC ID
8921990110
Professional Enrollment ID
I20230809003352
Address ID
CA928684978OR625XXSXXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:6State licenses:1Digital endpointsOther names

13,237 FAMILY PRACTICE in CA

Provider Addresses for DR. HABIB AHMAD HAIDARY (MD)

  • 1115 S SUNSET AVE

    WEST COVINA, CA 917903940

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $64.

Total Amount is formed as General ($64) + Research ($0) + Ownership ($0) = $64.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($41).

Total Amount

$64

General + Research + Ownership

Payments

5

Total payment records

General Amount

$64

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-09

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230809003352IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes8534$0
99239Hospital discharge day management, more than 30 minutes1918$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 91790)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921990110View full group profile
NameSpecialtyState
Internal MedicineCA
Interventional Cardiology, Cardiovascular Disease (Cardiology)WI
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)CA
-CA
Family PracticeTX
Internal MedicineCA
Hospitalist, Internal MedicineHI
Internal MedicineCA
Cardiovascular Disease (Cardiology)CA
Internal Medicine, Cardiovascular Disease (Cardiology)CA

Reviews

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Frequently asked questions

Is there an official ID for DR. HABIB AHMAD HAIDARY (MD) in U.S. healthcare records?
The official identifier for DR. HABIB AHMAD HAIDARY (MD) is NPI 1124657580.
Active or inactive — what applies to DR. HABIB AHMAD HAIDARY (MD)?
You should see DR. HABIB AHMAD HAIDARY (MD) as active in CMS-hosted NPPES data.
What kind of doctor is DR. HABIB AHMAD HAIDARY (MD)?
DR. HABIB AHMAD HAIDARY (MD) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. HABIB AHMAD HAIDARY (MD) associated with West Covina?
Public fields place DR. HABIB AHMAD HAIDARY (MD) around West Covina, California. Always confirm the exact site before visiting.
Can I trust this NPI listing for DR. HABIB AHMAD HAIDARY (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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