Jihad Halloum, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35679 Issued in AZ

Practice address

2074 E Southern Ave Ste B101
Tempe, AZ 85282-7534

Phone

(480) 839-1032

Fax

(480) 838-7147

NPI assigned

Jul 14, 2006

Sex

Male

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 2

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Family Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14747/brand/1/csg/1/fhir/r4
• Direct secure messaging: jihad.halloum.1@14747.direct.athenahealth.com

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.

• Canyon Medical Solutions Inc

  • Primary Care Clinic/Center
  • Chandler, AZ
  • NPI 1417005026
  Medicare reassignment NPD Authorized official
• Daniel Bauer MD PC

  • Family Medicine Physician
  • Tempe, AZ
  • NPI 1568422368
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1306862479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2074 E SOUTHERN AVE STE B101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827534",
            "telephone_number": "480-839-1032",
            "fax_number": "480-838-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2074 E SOUTHERN AVE STE B101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827534",
            "telephone_number": "480-839-1032",
            "fax_number": "480-838-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLOUM",
        "first_name": "JIHAD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "35679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00405605",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169772",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Hall, MS
• Gordon Jeffrey Hall, D.M.D.
• Rebecca Hall
• Sarah Hall, MAS-MFT, LAMFT
• Danite Haller, N.D.
• Ashlee Halsell, L.AC., DIPL. O.M.
• David Hamblin, DDS
• Saquib Hamid, MD
• Ashley Hamilton, MA
• Cynthia L Hammer, RN BSN

• Family Medicine Physician in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.

Verify at the official NPI Registry.