Individual provider Active NPI

Debbie Haymowattee Hallak, DO

  • Internal Medicine Physician
  • Charlotte, MI
National Provider Identifier
1154493971
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
510101200 Issued in MI
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

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
114404037MedicaidMI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060109000868 MI Practitioner - Internal MedicinePractitioner - Pediatric Medicine 5991728792 Reassigns benefits to 6 organizations

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
Vituity - Michigan Hospitalists PCGroup PAC ID 2365860996, 76 clinicians
Sparrow Eaton HospitalGroup PAC ID 0042103509, 45 clinicians

Practice addresses (Care Compare)

321 E Harris St
Charlotte, MI 48813-1629
Phone (517) 543-1050

Hospital & facility affiliations

  • Elara Caring Home health agency, Jackson, MI, CCN 237274
  • University of Michigan Health - Sparrow Eaton Hospital, Charlotte, MI, CCN 231327
  • Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230
  • Eaton Rapids Medical Center Hospital, Eaton Rapids, MI, CCN 231324

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
510101200MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Eaton Hospital CurrentSince May 8, 2020 Accepting new patients
Sparrow Ionia Hospital Current Accepting new patients
Sparrow Clinton Hospital CurrentSince Aug 1, 2018 Accepting new patients
Sparrow Eaton Hospital Current Accepting new patients
Sparrow Clinton Hospital CurrentSince Aug 1, 2018 Accepting new patients
Charlotte Medical Center & Urgent Care Current Accepting new patients
Sparrow Eaton Hospital CurrentSince May 8, 2020 Accepting new patients
Sparrow Ionia Hospital CurrentSince Mar 10, 2012 Accepting new patients
Vituity - Michigan Hospitalists PC Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Sparrow Ionia Hospital CurrentSince Mar 10, 2012 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

  • Direct secure messaging: 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.

View all 13

Hospital & facility affiliations 8

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": "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

Verify at the official NPI Registry.