NPIMap

Individual provider Active NPI

Michael Hallowell, MD

  • Diagnostic Radiology Physician
  • Philadelphia, PA
National Provider Identifier
1265422299
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD042645E Issued in PA
Practice address
Broad and Vine St S
Ms 206
Philadelphia, PA 19102
Phone
(215) 762-1808
Fax
(215) 762-2350
NPI assigned
Oct 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD042645E PA Primary

Addresses

Primary practice location

Broad and Vine St S
Ms 206
Philadelphia, PA 19102

Mailing address

Broad and Vine St S
Ms 206
Philadelphia, PA 19102
Phone (215) 762-1808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD042645EPAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imaging Professionals of Pennsylvania PC Diagnostic Radiology Past Accepting new patients
Trinity Imaging Associates, P.C. Diagnostic Radiology Past Accepting new patients
TPS IV of PA, LLC Past Accepting new patients
Northeast Imaging Associates of Philadelphia, P.C. Diagnostic Radiology Past Accepting new patients
SSP Partners, LLC Past Accepting new patients
American Radiology Associates, P.a. Diagnostic Radiology Past Accepting new patients
American Radiology Associates, P.a. Diagnostic Radiology Past Accepting new patients
Raytel Medical Imaging, Inc. Past Accepting new patients
Bucks County Radiology Associates, PC Diagnostic Radiology Past Accepting new patients

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271203200000",
    "number": "1265422299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BROAD AND VINE ST S",
            "address_2": "MS 206",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19102",
            "telephone_number": "215-762-1808",
            "fax_number": "215-762-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BROAD AND VINE ST S",
            "address_2": "MS 206",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19102",
            "telephone_number": "215-762-1808",
            "fax_number": "215-762-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLOWELL",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2010-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD042645E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.