Active NPI
Debbie Haymowattee Hallak, DO
- Internal Medicine Physician
- Charlotte, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 510101200
- Practice address
- 616 Meijer St
Charlotte, MI 48813 - Phone
- (517) 543-7800
- Fax
- (517) 543-7900
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 5101012000 | MI | |
| Internal Medicine Physician | 207R00000X | 510101200 | MI | Primary |
Addresses
Primary practice location
616 Meijer St
Charlotte, MI 48813
Mailing address
PO Box 327
Charlotte, MI 48813
Phone (517) 543-7800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114404037 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
321 E Harris St
Charlotte, MI 48813-1629
Phone (517) 543-1050
Hospital & facility affiliations
- Elara Caring
- University of Michigan Health - Sparrow Eaton
- Edward W Sparrow Hospital
- Eaton Rapids Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 510101200 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparrow Eaton Hospital | Current | Accepting new patients | |
| Sparrow Ionia Hospital | Current | Accepting new patients | |
| Sparrow Clinton Hospital | Current | Accepting new patients | |
| Sparrow Eaton Hospital | Current | Accepting new patients | |
| Sparrow Clinton Hospital | Current | Accepting new patients | |
| Charlotte Medical Center & Urgent Care | Current | Accepting new patients | |
| Sparrow Eaton Hospital | Current | Accepting new patients | |
| Sparrow Ionia Hospital | Current | Accepting new patients | |
| Vituity - Michigan Hospitalists PC | Internal Medicine | Current | Accepting new patients |
| Sparrow Ionia Hospital | Current | Accepting new patients | |
| Sparrow Eaton Hospital | Internal Medicine | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
8175 Reliable Pkwy
Chicago, IL 60686
406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131
616 Meijer Dr
Ste 202
Charlotte, MI 48813
Phone (517) 543-7976
616 Meijer Dr
Charlotte, MI 48813
Phone (517) 541-5935
321 E Harris St
Ste C
Charlotte, MI 48813
111 Lansing St
Ste 110
Charlotte, MI 48813
Phone (517) 541-5855
123 Lansing St
Ste 2
Charlotte, MI 48813
Phone (517) 541-5954
321 E Harris St
Charlotte, MI 48813
Phone (517) 541-5840
550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600
1215 E Michigan Ave
#8W
Lansing, MI 48912
Phone (517) 364-2614
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
805 S Oakland St
Saint Johns, MI 48879
Phone (989) 224-6881
Interoperability endpoints
- dhallak14871@sparrowdirecthie.org
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Charlotte, MI
- NPI 1043419427
-
- Hospitalist Physician
- Lansing, MI
- NPI 1487278156
Internal Medicine
-
- Multi-Specialty Clinic/Center
- Saint Johns, MI
- NPI 1306893078
-
- Critical Access Hospital
- Ionia, MI
- NPI 1700820065
-
- Pediatrics Physician
- Lansing, MI
- NPI 1831139088
-
- Long Term Care Hospital
- Lansing, MI
- NPI 1437655842
-
- Urgent Care Clinic/Center
- Charlotte, MI
- NPI 1780904417
-
- Critical Access Hospital
- Saint Johns, MI
- NPI 1093809824
-
- School Nurse Practitioner
- East Lansing, MI
- NPI 1063227486
-
- Hospitalist Physician
- Charlotte, MI
- NPI 1235420092
-
- Family Medicine Physician
- Ionia, MI
- NPI 1033271143
-
- Certified Registered Nurse Anesthetist
- Ionia, MI
- NPI 1710900659
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Eaton Rapids, MI
- NPI 1417044660
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1760710719
-
- Home Health Agency
- Jackson, MI
- NPI 1588642110
-
- Critical Access Hospital
- Charlotte, MI
- NPI 1942254529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1154493971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 327",
"city": "CHARLOTTE",
"state": "MI",
"postal_code": "48813",
"telephone_number": "517-543-7800",
"fax_number": "517-543-7900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "616 MEIJER ST",
"city": "CHARLOTTE",
"state": "MI",
"postal_code": "48813",
"telephone_number": "517-543-7800",
"fax_number": "517-543-7900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLAK",
"first_name": "DEBBIE",
"middle_name": "HAYMOWATTEE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "5101012000",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "510101200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114404037",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.