Individual provider Active NPI

Reda Hallaba, MD

  • Emergency Medicine Physician
  • Charleston, SC
National Provider Identifier
1063574556
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
29366 Issued in SC
Practice address
2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone
(843) 402-1037
NPI assigned
Dec 14, 2006
Last updated
Aug 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD429824 PA
Emergency Medicine Physician 207P00000X 102945 WI
Emergency Medicine Physician 207P00000X 29366 SC Primary

Addresses

Primary practice location

2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733

Mailing address

PO Box 602645
Charlotte, NC 28260-2645
Phone (843) 789-1620

Other practice location 1

Marshfield Clinic
1000 N Oak Avenue
Marshfield, WI 54449-5703
Phone (715) 387-5511

Other practice location 2

1031 Highway 41 Ste 100
MT Pleasant, SC 29466-9320
Phone (843) 971-3627

Other practice location 3

1810 US Hwy 321 Bypass S
Winnsboro, SC 29180-7127
Phone (803) 365-8100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.musc.edu Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20070611000000 SC Practitioner - Emergency Medicine 2062466394 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acs Primary Care Physicians - Southeast PCGroup PAC ID 5193620714, 409 clinicians
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

501 Robertson Blvd
Walterboro, SC 29488-2787
Phone (843) 782-2000

805 Pamplico Hwy
Florence, SC 29505-6047
Phone (843) 674-2500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21015WVMDSchool Psychologist
102945WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jul 18, 2025 Accepting new patients
MCHS Hospitals Inc Emergency Medicine CurrentSince Jul 18, 2025 Accepting new patients
Roper Hospital Inc. CurrentSince Aug 9, 2022 Accepting new patients
Roper Hospital Inc Emergency Medicine Current Accepting new patients
Flambeau Hospital Inc Current Accepting new patients
Musc Community Physicians CurrentSince Jul 1, 2022 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jul 18, 2025 Accepting new patients
Memorial Hospital Inc CurrentSince Jul 18, 2025 Accepting new patients
MCHS Hospitals Inc CurrentSince Jul 18, 2025 Accepting new patients
Roper St. Francis Mount Pleasant Hospital CurrentSince Aug 9, 2022 Accepting new patients
Roper St. Francis Mount Pleasant Hospital Current Accepting new patients
Roper St. Francis Mount Pleasant Hospital Emergency Medicine CurrentSince Aug 9, 2022 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jul 18, 2025 Accepting new patients
Flambeau Hospital Inc CurrentSince Jul 18, 2025 Accepting new patients
Bon Secours St Francis Xavier Hospital, Inc. Emergency Medicine CurrentSince Aug 9, 2022 Accepting new patients
Musc Community Physicians Emergency Medicine Current Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince Jan 1, 2016 Accepting new patients
Roper Hospital Inc Emergency Medicine CurrentSince Aug 9, 2022 Accepting new patients
Marshfield Clinic Inc CurrentSince Jul 18, 2025 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jul 18, 2025 Accepting new patients
Bon Secours St. Francis Xavier Hospital, Inc. CurrentSince Aug 9, 2022 Accepting new patients
Musc Community Physicians CurrentSince Jul 1, 2022 Accepting new patients
Robertson Emergency Physicians Emergency Medicine Past Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc. PastSince Jul 25, 2019 Accepting new patients
Seton Emergency Physicians Emergency Medicine Past Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients
Medcare Urgent Care Center - Anderson LLC Past Accepting new patients
Medcare Express Past Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Past Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037

316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000

805 Pamplico Hwy
Florence, SC 29505
Phone (843) 674-2500

3500 N Highway 17
Mt Pleasant, SC 29466
Phone (843) 606-7000

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

501 Robertson Blvd
Walterboro, SC 29488
Phone (843) 549-2000

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

Interoperability endpoints

  • Direct secure messaging: rhallaba380655@direct.musc.edu

Organizations & group practices 30

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.

View all 30

Hospital & facility affiliations 7

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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1063574556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602645",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602645",
            "telephone_number": "843-789-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 HENRY TECKLENBURG DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145733",
            "telephone_number": "843-402-1037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Marshfield Clinic",
            "address_2": "1000 N Oak Avenue",
            "address_purpose": "LOCATION",
            "city": "Marshfield",
            "state": "WI",
            "postal_code": "544495703",
            "country_code": "US",
            "telephone_number": "715-387-5511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1031 Highway 41 Ste 100",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "SC",
            "postal_code": "294669320",
            "country_code": "US",
            "telephone_number": "843-971-3627",
            "fax_number": "843-352-0265",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1810 US Hwy 321 Bypass S",
            "address_purpose": "LOCATION",
            "city": "Winnsboro",
            "state": "SC",
            "postal_code": "291807127",
            "country_code": "US",
            "telephone_number": "803-365-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALLABA",
        "first_name": "REDA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD429824",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "102945",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "29366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.musc.edu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1810 US Hwy 321 Bypass S",
            "city": "Winnsboro",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291807127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.