Individual provider Active NPI

Radwan Saadallah Hallaba, M.D.

  • Emergency Medicine Physician
  • N Charleston, SC
National Provider Identifier
1447221346
Registry record updated May 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
26704 Issued in SC
Practice address
8720 Dorchester Rd
N Charleston, SC 29420-7303
Phone
(843) 552-3629
Fax
(843) 576-5244
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 26704 SC Primary

Addresses

Primary practice location

8720 Dorchester Rd
N Charleston, SC 29420-7303

Mailing address

8720 Dorchester Rd
N Charleston, SC 29420-7303
Phone (843) 552-3629

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20060718000152 SC Practitioner - Emergency Medicine 8820063142 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Medical University of South Carolina College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

2435 Forest Dr
Columbia, SC 29204-2026
Phone (803) 256-5300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26704SCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medcare Urgent Care Center - Anderson LLC CurrentSince May 15, 2007 Accepting new patients
Musc Community Physicians CurrentSince May 12, 2022 Accepting new patients
Musc Community Physicians Emergency Medicine Current Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince Jan 1, 2021 Accepting new patients
Musc Community Physicians CurrentSince May 12, 2022 Accepting new patients
Medcare Express - North Charleston LLC CurrentSince May 15, 2007 Accepting new patients
New Jersey/Pennsylvania Em-1 Medical Services, P.C. Emergency Medicine Past Accepting new patients
Shikellamy Emergency Physicians Emergency Medicine Past Accepting new patients
Medcare Express Past Accepting new patients
Community Health Association Past Accepting new patients
Seton Emergency Physicians Emergency Medicine Past Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

1850 Sam Rittenberg Blvd
Ste B
Charleston, SC 29407
Phone (843) 576-5246

1850 Sam Rittenberg Blvd
Charleston, SC 29407
Phone (843) 576-5246

7418 Garners Ferry Rd
Columbia, SC 29209
Phone (803) 509-6310

2435 Forest Dr
Columbia, SC 29204
Phone (770) 874-6859

805 Pamplico Hwy
Florence, SC 29505
Phone (843) 674-2500

10 E Hospital St
Manning, SC 29102
Phone (803) 433-3000

2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200

2829 E Highway 76
Mullins, SC 29574
Phone (843) 431-2150

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

8720 Dorchester Rd
North Charleston, SC 29420
Phone (843) 552-3629

110 Medical Cir
West Columbia, SC 29169
Phone (803) 434-6113

1810 US Highway 321 Byp S
Winnsboro, SC 29180
Phone (803) 256-5600

Interoperability endpoints

  • Direct secure messaging: rhallaba380518@direct.musc.edu

Organizations & group practices 12

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 5

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242345600000",
    "number": "1447221346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8720 DORCHESTER RD",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294207303",
            "telephone_number": "843-552-3629",
            "fax_number": "843-576-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8720 DORCHESTER RD",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294207303",
            "telephone_number": "843-552-3629",
            "fax_number": "843-576-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLABA",
        "first_name": "RADWAN",
        "middle_name": "SAADALLAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2009-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "26704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Charleston, SC

Sources for this page

Verify at the official NPI Registry.