Individual provider Active NPI

John J Haluschak, MD

  • Medical Oncology Physician
  • Oakwood, OH
National Provider Identifier
1407895535
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
35.057545 Issued in OH
Practice address
400 Sugar Camp Cir Ste 200
Oakwood, OH 45409-1981
Phone
(937) 276-8320
Fax
(937) 276-8325
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 35057545 OH
Medical Oncology Physician 207RX0202X 35.057545 OH Primary

Addresses

Primary practice location

400 Sugar Camp Cir Ste 200
Oakwood, OH 45409-1981

Mailing address

3170 Kettering Blvd BLDG B
Moraine, OH 45439-1924
Phone (937) 991-3188

Other practice location 1

9000 N Main St Ste 200
Englewood, OH 45415-1165
Phone (937) 276-8320

Other practice location 2

2300 Miami Valley Dr Fl 4
Centerville, OH 45459-4779
Phone (937) 276-8320

Other identifiers 2

IdentifierTypeStateIssuer
000000389964OtherANTHEM
0955640MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
RESTful URL jhaluschak1442@direct.premierhealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040305000369 OH Practitioner - Hematology/OncologyPractitioner - General PracticePractitioner - Internal Medicine 9234033259 Reassigns benefits to 1 organization
I20210119002401 WA Practitioner - Medical OncologyPractitioner - Internal MedicinePractitioner - Hematology 9234033259 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology, Internal Medicine
Education
Loma Linda University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
PeacehealthGroup PAC ID 9537073960, 292 clinicians
Premier Health Specialists IncGroup PAC ID 5597708594, 576 clinicians

Practice addresses (Care Compare)

3301 Squalicum Pkwy
Bellingham, WA 98225-1919
Phone (360) 788-8222

400 Sugar Camp Cir
Suite 200
Oakwood, OH 45409-1981
Phone (937) 276-8320

Hospital & facility affiliations

  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
  • Peacehealth St Joseph Medical Center Hospital, Bellingham, WA, CCN 500030
  • Upper Valley Medical Center Hospital, Troy, OH, CCN 360174
  • Atrium Medical Center Hospital, Franklin, OH, CCN 360076

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
66.25
Promoting interoperability
100
Improvement activities
40
Cost
71.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35057545OHMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Specialists Inc CurrentSince May 31, 2021 Accepting new patients
Premier Health Specialists Inc CurrentSince May 31, 2021 Accepting new patients
Peacehealth Current Accepting new patients
Premier Heart Associates, Inc Past Accepting new patients
Hematology & Oncology of Dayton, Inc. Hematology & Oncology Past Accepting new patients
Wilson Care, LLC Past Accepting new patients

Locations

2300 Miami Valley Dr
Fl 4
Centerville, OH 45459
Phone (937) 276-8320

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

9000 N Main St
Ste G-36
Englewood, OH 45415
Phone (937) 832-1093

9000 N Main St
Ste G-35
Englewood, OH 45415
Phone (937) 276-8320

9000 N Main St
Ste 200
Englewood, OH 45415
Phone (937) 495-0000

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

400 Sugar Camp Cir
Ste 200
Oakwood, OH 45409
Phone (937) 262-7819

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

1117 Spring St
Friday Harbor, WA 98250
Phone (360) 378-1738

Interoperability endpoints

  • Direct secure messaging: jhaluschak456219@direct.peacehealth.org
  • FHIR API: https://api.platform.athenahealth.com/107/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1407895535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 KETTERING BLVD BLDG B",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391924",
            "telephone_number": "937-991-3188",
            "fax_number": "937-223-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SUGAR CAMP CIR STE 200",
            "city": "OAKWOOD",
            "state": "OH",
            "postal_code": "454091981",
            "telephone_number": "937-276-8320",
            "fax_number": "937-276-8325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9000 N Main St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "OH",
            "postal_code": "454151165",
            "country_code": "US",
            "telephone_number": "937-276-8320",
            "fax_number": "937-276-8325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 Miami Valley Dr Fl 4",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454594779",
            "country_code": "US",
            "telephone_number": "937-276-8320",
            "fax_number": "937-276-8325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALUSCHAK",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OH",
            "license": "35057545",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "OH",
            "license": "35.057545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000389964",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0955640",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "jhaluschak1442@direct.premierhealth.com",
            "affiliation": "N",
            "address_1": "400 Sugar Camp Cir Ste 200",
            "city": "Oakwood",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454091981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oakwood, OH

Sources for this page

Verify at the official NPI Registry.