Monther Al-Halawani, MD, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME72768 Issued in FL

Legal business name

MONTHER AL-HALAWANI, MD, PA

Doing business as

Center for Diabetes and Metabolic Disorders

Practice address

502 Corner Dr
Brandon, FL 33511-5724

Phone

(813) 643-4722

Fax

(813) 651-3280

NPI assigned

Sep 23, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Patrinella Sue Johnston

Title

Office Manager

Phone

(813) 643-4722

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• CENTER FOR DIABETES AND METABOLIC DISORDERS Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Monther Hafez Al-Halawani, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Brandon, FL
  • NPI 1013086305
  Medicare reassignment Care Compare group NPD
• Lina Andrea Gonzalez Quintero, FNP-BC

  • Nurse Practitioner
  • Coral Gables, FL
  • NPI 1225580681
  Medicare reassignment Care Compare group NPD
• Jishamol Paul, APRN

  • Family Nurse Practitioner
  • Tampa, FL
  • NPI 1467961094
  Medicare reassignment NPD

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1124336177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 CORNER DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115724",
            "telephone_number": "813-643-4722",
            "fax_number": "813-651-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 CORNER DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115724",
            "telephone_number": "813-643-4722",
            "fax_number": "813-651-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTHER AL-HALAWANI, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "PATRINELLA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "813-643-4722",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME72768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "38043",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL LIC. NUMBER",
            "identifier": "ME0072768",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTER FOR DIABETES AND METABOLIC DISORDERS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CENTER FOR DIABETES AND METABOLIC DISORDERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Astrid Mondaca, M.D.
• Jorge Luis Montane-Gonzalez, MD
• Sindy Montanes Fernandez
• Joseph Monteleone, LMHC, LMFT
• Love Shareese Montgomery, HHA
• Camila Montiel Acuna
• Brittany Mooney, SLP-CF
• McKenzie Moore, ATC
• Nakeeta Moore
• Yovonda Moore

• Specialist in Brandon, FL
• Providers in Brandon, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.