Individual provider Active NPI

Moh'D Al-Halawani, M.D.

  • Pulmonary Disease Physician
  • Hutchinson, KS
National Provider Identifier
1003204629
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
04-41615 Issued in KS
Practice address
1701 E 23Rd Ave
Hutchinson, KS 67502-9907
Phone
(620) 513-4800
NPI assigned
Jan 5, 2015
Last updated
Nov 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 04-41615 KS Primary

Addresses

Primary practice location

1701 E 23Rd Ave
Hutchinson, KS 67502-9907

Mailing address

1701 E 23Rd Ave
Hutchinson, KS 67502-9907
Phone (620) 513-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190923000167 KS Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 9739489113 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vigilias LLCGroup PAC ID 9133433279, 49 clinicians

Practice addresses (Care Compare)

1701 E 23Rd Ave
2000 Hutchinson Regional Physician Network
Hutchinson, KS 67502-9908
Phone (316) 665-2000

425 N Belmont Ave
Wichita, KS 67208-3810
Phone 3165007549700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
52.09 of 100Reported as individual
Quality
52.17
Promoting interoperability
0
Improvement activities
40
Cost
53.91

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Vigilias LLC CurrentSince Apr 15, 2024 Accepting new patients
Hutchinson Regional Medical Center, Inc. Pulmonary Disease CurrentSince Jul 9, 2019 Accepting new patients
Hutchinson Regional Medical Center, Inc. Current Accepting new patients
Hutchinson Regional Medical Center, Inc. Past Accepting new patients

Locations

100 E College Dr
Colby, KS 67701
Phone (785) 462-7511

1701 E 23rd Ave
Hutchinson, KS 67502
Phone (620) 665-2117

1701 E 23rd Ave
Ste 2000
Hutchinson, KS 67502
Phone (316) 665-2000

4723 E Douglas Ave
Wichita, KS 67218
Phone (316) 670-3800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19896/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/70091b8b-c363-42f8-b4d5-3b99f0fb60f1/

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hutchinson Regional Medical CenterHutchinson, KS, CCN 170020 Hospital Corporate Director Jul 1, 2023
Hutchinson Regional Medical CenterHutchinson, KS, CCN 17S020 Hospital Corporate Director Jul 1, 2023
Hutchinson Regional Medical Center IncHutchinson, KS, CCN 17T020 Hospital Corporate Director Jul 1, 2023
Hutchinson Regional Provider NetworkHutchinson, KS, CCN 178654 Rural health clinic Corporate Director Jul 1, 2023

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1003204629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E 23RD AVE",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675029907",
            "telephone_number": "620-513-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E 23RD AVE",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675029907",
            "telephone_number": "620-513-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-HALAWANI",
        "first_name": "MOH'D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-05",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KS",
            "license": "04-41615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutchinson, KS

Sources for this page

Verify at the official NPI Registry.