Halo Endocrinology

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

HALO ENDOCRINOLOGY

Practice address

4160 John R St Ste 510
Detroit, MI 48201-2021

Phone

(313) 993-7777

NPI assigned

Feb 27, 2019

Organization subpart

Yes

Parent organization

HALO MEDICAL GROUPAs reported in NPPES

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

Authorized official

Name

Hanady Beydoun

Title

Office Manager

Phone

(313) 993-7777

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Halo Primary Care6 organizations share this tax ID, including this one

Part of

Halo Primary Care

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• Halo Medical Group PLLC

  • Family Nurse Practitioner
  • Detroit, MI
  • NPI 1750604526
  NPD tax ID
• Halo Pediatrics

  • Pediatrics Physician
  • Detroit, MI
  • NPI 1215494125
  NPD tax ID
• Halo Primary Care

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1386101293
  NPD tax ID
• Halo PT & Rehab

  • Physical Therapist
  • Southfield, MI
  • NPI 1902467145
  NPD tax ID
• Heart and Vascular Institute

  • Cardiovascular Disease Physician
  • Dearborn, MI
  • NPI 1679030530
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mahir Darrar Elder, MD

  • Cardiovascular Disease Physician
  • Detroit, MI
  • NPI 1962427260
  NPD (past)

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1386101285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22720 MICHIGAN AVE STE 200",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 JOHN R ST STE 510",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012021",
            "telephone_number": "313-993-7777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22720 Michigan Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481242021",
            "country_code": "US",
            "telephone_number": "313-791-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20240 W 12 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480762426",
            "country_code": "US",
            "telephone_number": "248-424-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HALO ENDOCRINOLOGY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HALO MEDICAL GROUP",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "BEYDOUN",
        "authorized_official_first_name": "HANADY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "313-993-7777"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14282742",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548500333",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew T. Hallman
• Melissa Hallman
• Abhirami Hallock, MD
• Melissa Hallock
• Laura Rae Hallstrom, M.D.
• Halo Medical Group PLLC
• Halo Medical Group PLLC
• Halo Pediatrics
• Halo Primary Care
• Halo Primary Care PLLC

• Endocrinology, Diabetes & Metabolism Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Endocrinology, Diabetes & Metabolism Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.