Hallie Sara Kendis, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35.126496 Issued in OH

Practice address

35040 Chardon Rd
Building VII Ste 110
Willoughby Hills, OH 44094-9006

Phone

(440) 946-1200

Fax

(440) 946-5186

NPI assigned

Sep 14, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Associates in Neurology, Inc

  • Neurology Physician
  • Willoughby, OH
  • NPI 1043203938
  Medicare reassignment NPD

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1285967919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35040 CHARDON RD",
            "address_2": "BUILDING VII STE 110",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440949006",
            "telephone_number": "440-946-1200",
            "fax_number": "440-946-5186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35040 CHARDON RD",
            "address_2": "BUILDING VII STE 110",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440949006",
            "telephone_number": "440-946-1200",
            "fax_number": "440-946-5186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDIS",
        "first_name": "HALLIE",
        "middle_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-14",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.126496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0140477",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hallie.kendis@aini.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "35040 Chardon Rd",
            "address_2": "Building VII Ste 110",
            "city": "Willoughby Hills",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440949006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Internal Medicine Physician in Willoughby Hills, OH
• Providers in Willoughby Hills, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.