Individual provider Active NPI

David S Hallegua, M.D.

  • Rheumatology Physician
  • Beverly Hills, CA
National Provider Identifier
1063416964
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
A55599 Issued in CA
Practice address
8641 Wilshire Boulevard
Ste 301
Beverly Hills, CA 90211-2921
Phone
(310) 652-0928
Fax
(310) 659-2841
NPI assigned
Jun 8, 2005
Last updated
Mar 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X A55599 CA Primary

Addresses

Primary practice location

8641 Wilshire Boulevard
Ste 301
Beverly Hills, CA 90211-2921

Mailing address

8641 Wilshire Boulevard
Ste 301
Beverly Hills, CA 90211-2921
Phone (310) 652-0928

Other identifiers 3

IdentifierTypeStateIssuer
00A555990OtherCABLUE SHIELD
954869287OtherCABLUE CROSS
00A555990MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20041123000431 CA Practitioner - RheumatologyPractitioner - Internal Medicine 9032174628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8641 Wilshire Blvd
Suite 301
Beverly Hills, CA 90211-2921
Phone (310) 652-0928

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
David S Hallegua M.D., a Professional Corporation Rheumatology CurrentSince Jun 15, 2001 Accepting new patients
David S. Hallegua, MD, a Professional Corporation Current Accepting new patients
Allan L Metzger MD Inc Rheumatology Past Accepting new patients
RS Venuturupalli MD Inc Rheumatology Past Accepting new patients

Locations

8641 Wilshire Blvd
Ste 301
Beverly Hills, CA 90211
Phone (310) 358-2234

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJFACA/Endpoint/GJFACA

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 3

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": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1063416964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8641 WILSHIRE BOULEVARD",
            "address_2": "STE 301",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112921",
            "telephone_number": "310-652-0928",
            "fax_number": "310-659-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8641 WILSHIRE BOULEVARD",
            "address_2": "STE 301",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112921",
            "telephone_number": "310-652-0928",
            "fax_number": "310-659-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLEGUA",
        "first_name": "DAVID",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A55599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A555990",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "954869287",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A555990",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.