Individual provider Active NPI

Jeffrey D Haller, MD

  • Internal Medicine Physician
  • Farmington Hills, MI
National Provider Identifier
1417935032
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301405755 Issued in MI
Practice address
27555 Farmington Rd 120
Farmington Hills, MI 48334-3376
Phone
(248) 477-5608
NPI assigned
Jan 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301405755 MI Primary
Pediatrics Physician 208000000X 4301405755 MI

Addresses

Primary practice location

27555 Farmington Rd 120
Farmington Hills, MI 48334-3376

Mailing address

27555 Farmington Rd 120
Farmington Hills, MI 48334-3376
Phone (248) 477-5608

Other identifiers 2

IdentifierTypeStateIssuer
110027779OtherMIRAIL ROAD MEDICARE
1959880MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20100112000039 MI Practitioner - Internal MedicinePractitioner - Pediatric Medicine 7618037557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Wayne State University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Haller and Hug PCGroup PAC ID 4082774922, 7 clinicians
Premier Therapy Centers, IncGroup PAC ID 5092605717, 140 clinicians

Practice addresses (Care Compare)

27555 Farmington Rd
Farmington Hills, MI 48334-3376
Phone (248) 477-3701

33010 Northwestern Hwy
West Bloomfield, MI 48322-3634

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Haller & Hug, PC Internal Medicine CurrentSince Jul 1, 1995 Accepting new patients

Locations

27555 Farmington Rd
Ste 120
Farmington Hills, MI 48334
Phone (248) 477-3701

27555 Farmington Rd
Farmington Hills, MI 48334

Interoperability endpoints

  • Direct secure messaging: jeffreyhaller@hhpc.allscriptsdirect.net

Organizations & group practices 2

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1417935032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27555 FARMINGTON RD 120",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343376",
            "telephone_number": "248-477-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27555 FARMINGTON RD 120",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343376",
            "telephone_number": "248-477-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLER",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301405755",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301405755",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "110027779",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1959880",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.