EDMOND HABASH (P.A-C) – Physician Assistant, NPI 1194774901

EDMOND HABASH (P.A-C) is a healthcare provider. based in Great bend, Kansas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A-C. They hold a License No. 1500579 (KS). The NPI Number for EDMOND HABASH (P.A-C) is 1194774901

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
EDMOND HABASH (P.A-C)
NPI
1194774901
Phone
(620) 786-6475
Address
PO BOX 310
Enumeration Date
9 May 2006
Last Update Date
22 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6207962135
Graduation Year
1997 (29 years ago)
PAC ID
5496793465
Group Practice PAC ID
1557279676
Professional Enrollment ID
I20050420000645
Address ID
KS675303549GR3800XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

1,303 PHYSICIAN ASSISTANT in KS

Provider Addresses for EDMOND HABASH (P.A-C)

  • PO BOX 310

    GREAT BEND, KS 675300310

    Phone: (620) 786-6475

    Fax: (620) 786-6155

    Type: Mailing

  • 3720 10th St

    Great Bend, KS 675303543

    Phone: (620) 796-2135

    Type: Location

  • 2214 Canterbury Dr Ste 308

    Hays, KS 676012385

    Phone: (785) 628-6014

    Type: Location

  • St. Rose Health Center, 3515, Broadway Avenue, Great Bend, Barton County, Kansas, 67530, United States

    SUITE 107

    GREAT BEND, KS 675303633

    Phone: (620) 793-8429

    Fax: (620) 793-6014

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $61.

Total Amount is formed as General ($61) + Research ($0) + Ownership ($0) = $61.

Last reported payment date: 2024-03-14 • Largest payer in this snapshot: HARMONY BIOSCIENCES LLC ($25).

Total Amount

$61

General + Research + Ownership

Payments

3

Total payment records

General Amount

$61

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-14

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: 2005-04-20

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
I20050420000645IPhysician AssistantKSTBD

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 minutes294251$0
51798Ultrasound measurement of bladder capacity after voiding252207$0
81003Automated urinalysis test200169$0
99214Established patient office or other outpatient visit, 30-39 minutes141125$0
J9217Leuprolide acetate (for depot suspension), 7.5 mg8412$0
View full utilization report →

Insurance plans in this area (ZIP 67530)

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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: 1557279676View full group profile

Reviews

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Frequently asked questions

Does EDMOND HABASH (P.A-C) have a public NPI I can cite?
Public records show EDMOND HABASH (P.A-C) under NPI 1194774901.
Does the public listing show EDMOND HABASH (P.A-C) as active?
EDMOND HABASH (P.A-C)'s NPI record reflects an active status in NPPES.
What does the directory say EDMOND HABASH (P.A-C) does?
Insurance directories may phrase it differently, but here EDMOND HABASH (P.A-C) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to EDMOND HABASH (P.A-C)?
The directory associates EDMOND HABASH (P.A-C) with Great Bend, Kansas. Check all listed addresses for suites or satellite offices.
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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