Heart and Vascular Institute

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

HEART AND VASCULAR INSTITUTE

Practice address

22720 Michigan Ave Ste 200
Dearborn, MI 48124-2021

Phone

(313) 791-3000

NPI assigned

Feb 27, 2019

Last updated

Feb 27, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

HALO MEDICAL GROUP PLLCAs reported in NPPES

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

Authorized official

Name

Hanady Beydoun

Title

Office Manager

Phone

(313) 993-7777

Specialties & licenses 4

Addresses

Other identifiers 20

Tax ID family

Halo Primary Care6 organizations share this tax ID, including this one

Part of

Halo Primary Care

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• Halo Endocrinology

  • Endocrinology, Diabetes & Metabolism Physician
  • Detroit, MI
  • NPI 1386101285
  NPD tax ID
• Halo Medical Group PLLC

  • Family Nurse Practitioner
  • Detroit, MI
  • NPI 1750604526
  NPD tax ID
• Halo Pediatrics

  • Pediatrics Physician
  • Detroit, MI
  • NPI 1215494125
  NPD tax ID
• Halo Primary Care

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1386101293
  NPD tax ID
• Halo PT & Rehab

  • Physical Therapist
  • Southfield, MI
  • NPI 1902467145
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5856/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mahir Darrar Elder, MD

  • Cardiovascular Disease Physician
  • Detroit, MI
  • NPI 1962427260
  NPD (past)

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1679030530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22720 MICHIGAN AVE STE 200",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22720 MICHIGAN AVE STE 200",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242021",
            "telephone_number": "313-791-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20240 W 12 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480762426",
            "country_code": "US",
            "telephone_number": "248-424-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4160 John R St Ste 510",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012021",
            "country_code": "US",
            "telephone_number": "313-993-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEART AND VASCULAR INSTITUTE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HALO MEDICAL GROUP PLLC",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "BEYDOUN",
        "authorized_official_first_name": "HANADY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "313-993-7777"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
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            "identifier": "1144341645",
            "state": "MI"
        },
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        },
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            "identifier": "11615581",
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        },
        {
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            "issuer": "CAQH",
            "identifier": "12151256",
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        },
        {
            "code": "01",
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            "issuer": "CAQH",
            "identifier": "12248863",
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        },
        {
            "code": "01",
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            "issuer": "CAQH",
            "identifier": "12440670",
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            "issuer": null,
            "identifier": "1326291428",
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        },
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            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12718965",
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        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "1881916435",
            "state": "MI"
        },
        {
            "code": "05",
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            "identifier": "1417010315",
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        {
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            "identifier": "1912263914",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962427260",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043473382",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12091363",
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        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Cardiovascular Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.