Active NPI
Halimat Omobolanle Lawal, M.D
- Internal Medicine Physician
- Harrisburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036159671
- Practice address
- 205 S. Front Street
Suite 3C
Harrisburg, PA 17104 - Phone
- (717) 231-8532
- Fax
- (717) 231-8535
- NPI assigned
- Apr 3, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036159671 | IL | Primary |
Addresses
Primary practice location
205 S. Front Street
Suite 3C
Harrisburg, PA 17104
Mailing address
301 Chestnut Street
Apt 707
Harrisburg, PA 17101
Phone (973) 821-8277
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hlawal105430@phsdirect.pinnaclehealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- 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
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 S 14TH St
Herrin, IL 62948-3631
Phone (618) 942-2171
Hospital & facility affiliations
- Hospice of Southern Illinois, Inc
- Herrin Hospital
- Memorial Hospital of Carbondale
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.96 of 100
- Quality
- 77.5
- Improvement activities
- 40
- Cost
- 74.58
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036159671 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 24 On Physicians, PC | Current | Accepting new patients | |
| 24 On Physicians, P.C. | Current | Accepting new patients |
Locations
13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004
405 W Jackson St
Carbondale, IL 62901
201 S 14th St
Herrin, IL 62948
Phone (618) 942-2171
1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224
Interoperability endpoints
- hlawal67599@sih.direct-ci.com
Organizations & group practices 2
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.
-
- Hospitalist Physician
- Ottawa, IL
- NPI 1346480431
-
- Hospitalist Physician
- Attleboro, MA
- NPI 1790104511
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Belleville, IL
- NPI 1720081805
-
- General Acute Care Hospital
- Carbondale, IL
- NPI 1093801797
-
- General Acute Care Hospital
- Herrin, IL
- NPI 1528158573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673395200000",
"number": "1245792803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 CHESTNUT STREET",
"address_2": "APT 707",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "17101",
"telephone_number": "973-821-8277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 S. FRONT STREET",
"address_2": "SUITE 3C",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "17104",
"telephone_number": "717-231-8532",
"fax_number": "717-231-8535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWAL",
"first_name": "HALIMAT",
"middle_name": "OMOBOLANLE",
"name_prefix": "Miss",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-03",
"last_updated": "2023-01-11",
"certification_date": "2023-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036159671",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hlawal105430@phsdirect.pinnaclehealth.org",
"affiliation": "N",
"endpointDescription": "Direct messaging",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "205 S. Front Street",
"address_2": "Suite 3C",
"city": "Harrisburg",
"state": "PA",
"country_code": "US",
"postal_code": "17104",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.