DAVID R. HABURCHAK (MD) – Internal Medicine Physician, NPI 1265542625

DAVID R. HABURCHAK (MD) is a healthcare provider. based in Marietta, Georgia. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. 030081 (GA). The NPI Number for DAVID R. HABURCHAK (MD) is 1265542625

Main info

Male
53 Years Of Experience
Accepts Medicare Assignment
Name
DAVID R. HABURCHAK (MD)
NPI
1265542625
Phone
(470) 956-2020
Address
833 CAMPBELL HILL ST NW STE 250
Enumeration Date
30 August 2006
Last Update Date
30 January 2019

Doctor Profile

Medical School Name
JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7704222004
Graduation Year
1973 (53 years ago)
PAC ID
5597820290
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20090212000423
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DAVID R. HABURCHAK (MD)

  • Campbell Hill Street Northwest, Northwest Marietta Historic District, Marietta, Cobb, Georgia, 30060, United States

    MARIETTA, GA 300601162

    Phone: (470) 956-2020

    Fax: (470) 956-2030

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-02-12

PECOS data refreshed: 2026-05-27

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
I20090212000423IInfectious DiseaseGATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes6447$0
99214Established patient office or other outpatient visit, 30-39 minutes3128$0
99204New patient office or other outpatient visit, 45-59 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 30060)

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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: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

What is the registry number for DAVID R. HABURCHAK (MD)?
The registry entry for DAVID R. HABURCHAK (MD) shows NPI 1265542625.
Should I treat DAVID R. HABURCHAK (MD) as an active provider?
Patients and plans typically see DAVID R. HABURCHAK (MD) as active in the national extract.
What type of care does DAVID R. HABURCHAK (MD) provide?
DAVID R. HABURCHAK (MD)'s profile centers on Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DAVID R. HABURCHAK (MD) tied to Marietta, Georgia?
If you are local to Marietta, Georgia, DAVID R. HABURCHAK (MD) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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