Active NPI
Hala Madi
- Obstetrics & Gynecology Physician
- Kennewick, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MT209986
- Practice address
- 721 S Auburn St
Kennewick, WA 99336-5629 - Phone
- (509) 547-2204
- Fax
- (509) 542-8836
- NPI assigned
- Jul 25, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MT209986 | PA | Primary |
Addresses
Primary practice location
721 S Auburn St
Kennewick, WA 99336-5629
Mailing address
PO Box 1452
Pasco, WA 99301-1223
Phone (509) 547-2204
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Astera Health
Practice addresses (Care Compare)
4 Deerwood Ave NW
Wadena, MN 56482-1253
Phone (218) 631-1360
415 Jefferson St N
Wadena, MN 56482-1264
Phone (218) 631-7495
415 Jefferson St N
Wadena, MN 56482-1296
Hospital & facility affiliations
- Astera Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT209986 | PA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Astera Health | Current | Accepting new patients | |
| Astera Health | Current | Accepting new patients | |
| RCCH Trios Health LLC | Current | Accepting new patients | |
| Astera Health | Current | Accepting new patients | |
| Tri Cities Community Health | Past | Accepting new patients |
Locations
421 11th St NW
Wadena, MN 56482
Phone (218) 631-3510
415 Jefferson St N
Wadena, MN 56482
Phone (218) 631-3510
216 W 10th Ave
Ste 204
Kennewick, WA 99336
Phone (509) 221-5520
3730 Plaza Way
Kennewick, WA 99338
Phone (509) 221-6350
Interoperability endpoints
- hmadi682428@direct.centracare.com
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Kennewick, WA
- NPI 1831682806
-
- Rural Health Clinic/Center
- Wadena, MN
- NPI 1134305162
-
- Critical Access Hospital
- Wadena, MN
- NPI 1477545333
-
- Rural Health Clinic/Center
- Verndale, MN
- NPI 1407262405
-
- Federally Qualified Health Center (FQHC)
- Pasco, WA
- NPI 1659995504
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Wadena, MN
- NPI 1477545333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596672000000",
"number": "1447635941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1452",
"city": "PASCO",
"state": "WA",
"postal_code": "993011223",
"telephone_number": "509-547-2204",
"fax_number": "509-542-8836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 S AUBURN ST",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993365629",
"telephone_number": "509-547-2204",
"fax_number": "509-542-8836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADI",
"first_name": "HALA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-25",
"last_updated": "2020-08-06",
"certification_date": "2020-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "MT209986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.