Wael Al-Halaseh, MD
Individual provider Active NPI Cardiovascular Disease Physician · Fort Payne, AL
NPI 1760645311 · NPPES record last updated Sep 11, 2013
Key facts
- NPI
- 1760645311
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- MD28946 (AL)
- Practice address
- 306 Medical Center Dr SW
Fort Payne, AL 35968-3416 - Phone
- (256) 845-9255
- Fax
- (256) 845-9349
- NPI assigned
- Jul 3, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- HH Heart Center, LLC
Dekalb Specialty Care
Practice addresses (Care Compare)
306 Medical Ctr Dr SW
Fort Payne, AL 35968-3416
Phone (256) 845-9255
Hospital & facility affiliations
- Centerwell Home Health
- Amedisys Home Health of Fort Payne
- Dekalb Regional Medical Center
- Huntsville Hospital
- Erlanger Medical Center
- Marshall Medical Centers
- Highlands Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 24.16 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 80.53
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 42 |
| Pacemaker insertion or repair | 12 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081202000449 | AL | Practitioner - Cardiovascular Disease (Cardiology) | 5698836278 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD28946 | AL | MD | Cardiovascular Disease Physician |
| 25MA07880900 | NJ | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dekalb Specialty Care | Current |
Accepting new patients | |
| HH Heart Center, LLC | Cardiovascular Disease | Current |
Accepting new patients |
| Fort Payne Clinic Corp. | Current |
Accepting new patients | |
| Fort Payne Clinic Corp | Current |
Accepting new patients | |
| HH Health System - Dekalb, LLC | Past | Accepting new patients |
Locations
200 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-3150
306 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 413-6301
315 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-0345
930 Franklin St SE
Huntsville, AL 35801
Interoperability endpoints
- walhalas@yourcarecommunity.org
- wael.al-halaseh.1@30893.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 25MA07880900 | NJ | |
| Cardiovascular Disease Physician | 207RC0000X | MD28946 | AL | Yes |
Addresses
Primary practice location
306 Medical Center Dr SW
Fort Payne, AL 35968-3416
Mailing address
306 Medical Center Dr SW
Fort Payne, AL 35968-3416
Phone (256) 845-9255
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760645311 | Medicaid | AL | |
| 510-47874 | Other | AL | AL BCBS |
Other providers in Fort Payne, AL
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- Ghaith Ajamoughli
- Samantha Al Halaseh
- Alabama Associates Chiropractic Clinic Inc.
- Alabama Em-I Medical Services
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- Larry James Allen
- Corazon P Alvarado
All providers in Fort Payne, AL · Cardiovascular Disease Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.