Active NPI
Robert J. Haller, M.D.
- Diagnostic Radiology Physician
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 059535
- Practice address
- 4853 Galaxy Pkwy
Suite I
Cleveland, OH 44128-5973 - Phone
- (216) 831-9786
- Fax
- (216) 831-2425
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 059535 | OH | Primary |
Addresses
Primary practice location
4853 Galaxy Pkwy
Suite I
Cleveland, OH 44128-5973
Mailing address
4853 Galaxy Pkwy
Suite I
Cleveland, OH 44128-5973
Phone (216) 831-9786
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2143120 | Medicaid | OH | |
| 0220291 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18697 Bagley Rd
Middlebrg HTS, OH 44130-3417
Phone (440) 816-8716
Hospital & facility affiliations
- Southwest General Health Center
- Cleveland Clinic
- Parma Community General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 059535 | OH | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbus Radiology Corp | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of Canton, Inc | Diagnostic Radiology | Current | Accepting new patients |
| University Hospitals Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of Canton, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Multicare Health System | Past | Accepting new patients | |
| DRS. Hill & Thomas Co. | Past | Accepting new patients |
Locations
2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919
2131 Lake Ave
Ashtabula, OH 44004
Phone (440) 998-2222
2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180
7066 Fulton Dr NW
Canton, OH 44718
Phone (330) 363-8567
1020 Trump Rd NW
Carrollton, OH 44615
Phone (330) 627-0091
13207 Ravenna Rd
Chardon, OH 44024
Phone (440) 285-5004
3999 Richmond Rd
Cleveland, OH 44122
Phone (216) 293-8226
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
11100 Euclid Ave
Cleveland Heights, OH 44106
111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232
158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960
20800 Harvard Rd
Fl 2
Highland Hills, OH 44122
Phone (216) 358-2156
875 8th St NE
Massillon, OH 44646
Phone (216) 832-8761
6780 Mayfield Rd
Mayfield Hts, OH 44124
Phone (440) 331-9520
18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000
6100 Whipple Ave NW
North Canton, OH 44720
Phone (330) 244-8778
832 S Main St
Orrville, OH 44667
Phone (330) 456-2695
18181 Pearl Rd
Strongsville, OH 44136
Phone (440) 816-4976
Organizations & group practices 6
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.
-
- Diagnostic Radiology Physician
- Columbus, OH
- NPI 1669408159
-
- Diagnostic Radiology Physician
- Canton, OH
- NPI 1912982034
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Canton, OH
- NPI 1689842122
-
- Radiology Clinic/Center
- Medina, OH
- NPI 1265544662
-
- Nurse Practitioner
- Tacoma, WA
- NPI 1407808413
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Parma, OH
- NPI 1164481677
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1154353993
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403654400000",
"number": "1639113293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4853 GALAXY PKWY",
"address_2": "SUITE I",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441285973",
"telephone_number": "216-831-9786",
"fax_number": "216-831-2425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4853 GALAXY PKWY",
"address_2": "SUITE I",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441285973",
"telephone_number": "216-831-9786",
"fax_number": "216-831-2425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLER",
"first_name": "ROBERT",
"middle_name": "J.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2014-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "059535",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2143120",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0220291",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.