Halo Medical Group PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704226174 Issued in MI

Legal business name

HALO MEDICAL GROUP PLLC

Practice address

4160 John R St
Suite 510
Detroit, MI 48201

Phone

(313) 993-7777

Fax

(313) 993-2563

NPI assigned

Mar 9, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mahir Darrar Elder, MDNPI 1962427260

Title

Cardiologist

Phone

(313) 993-7777

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 1

• Heart and Vascular Institute Former legal business name

Tax ID family

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

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 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
• Heart and Vascular Institute

  • Cardiovascular Disease Physician
  • Dearborn, MI
  • NPI 1679030530
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mahir Darrar Elder, MD

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

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1750604526",
    "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",
            "telephone_number": "313-791-3000",
            "fax_number": "313-791-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 JOHN R ST",
            "address_2": "SUITE 510",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48201",
            "telephone_number": "313-993-7777",
            "fax_number": "313-993-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALO MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "ELDER",
        "authorized_official_first_name": "MAHIR",
        "authorized_official_middle_name": "DARRAR",
        "authorized_official_title_or_position": "CARDIOLOGIST",
        "authorized_official_telephone_number": "313-993-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704226174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1811214489",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart and Vascular Institute",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Melissa Hallman
• Abhirami Hallock, MD
• Melissa Hallock
• Laura Rae Hallstrom, M.D.
• Halo Endocrinology
• Halo Medical Group PLLC
• Halo Pediatrics
• Halo Primary Care
• Halo Primary Care PLLC
• Michal Romuald Halon, MD

• Family Nurse Practitioner in Detroit, MI
• Providers in Detroit, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; 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.