Moh'D Al-Halawani, M.D.
Individual provider Active NPI Pulmonary Disease Physician · Hutchinson, KS
NPI 1003204629 · NPPES record last updated Nov 26, 2019
Key facts
- NPI
- 1003204629
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- 04-41615 (KS)
- Practice address
- 1701 E 23Rd Ave
Hutchinson, KS 67502-9907 - Phone
- (620) 513-4800
- NPI assigned
- Jan 5, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 4
Owned or controlled facilities with NPI records 4
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hutchinson Regional Medical Center Inc
Vigilias LLC
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
- Hutchinson Regional Medical Center Inc
- St. Catherine Hospital - Garden City
- University of KS HLTH System Great Bend Campus
- Hospital District #1 of Rice County
Merit-based Incentive Payment System (MIPS)
- Final score
- 52.09 of 100
- Quality
- 52.17
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 53.91
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 4
| Facility | Type | Role | Since |
|---|---|---|---|
| Hutchinson Regional Medical Center |
Hospital | Corporate Director | Jul 1, 2023 |
| Hutchinson Regional Medical Center |
Hospital | Corporate Director | Jul 1, 2023 |
| Hutchinson Regional Medical Center Inc |
Hospital | Corporate Director | Jul 1, 2023 |
| Hutchinson Regional Provider Network |
Rural health clinic | Corporate Director | Jul 1, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190923000167 | KS | Practitioner - Pulmonary Disease |
9739489113 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vigilias LLC | Current |
Accepting new patients | |
| Hutchinson Regional Medical Center, Inc. | Pulmonary Disease | Current |
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
Ste 2000
Hutchinson, KS 67502
Phone (316) 665-2000
1701 E 23rd Ave
Hutchinson, KS 67502
Phone (620) 665-2117
4723 E Douglas Ave
Wichita, KS 67218
Phone (316) 670-3800
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/70091b8b-c363-42f8-b4d5-3b99f0fb60f1/
- https://api.platform.athenahealth.com/19896/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 04-41615 | KS | Yes |
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
Other providers in Hutchinson, KS
- Advanced PT LLC
- Advanced Thermography Specialists
- Johanna H Agustin
- Agha Jamil Ahmed
- Margaret E Akins
- Bruce W Albright
- Jerold D Albright
- Andrew Aldrich
- Deborah Kay Aleman
- Mary Ellen Alexander
All providers in Hutchinson, KS · Pulmonary Disease Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 26, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.