Jeffrey Leonard Halleck, M.D.
Individual provider Active NPI Hospitalist Physician · Kalispell, MT
NPI 1760825822 · NPPES record last updated Dec 17, 2024
Key facts
- NPI
- 1760825822
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 9149500-1205 (UT)
- Practice address
- 310 Sunnyview LN
Kalispell, MT 59901-3129 - Phone
- (406) 751-5310
- NPI assigned
- Apr 9, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 13
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Oregon Health Sciences University School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kalispell Regional Medical Center Inc
Practice addresses (Care Compare)
310 Sunnyview LN
Kalispell, MT 59901-3129
Phone (406) 751-6488
Hospital & facility affiliations
- Logan Health Medical Center
- Logan Health - Whitefish
- Cabinet Peaks Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in UT, MT
- 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 |
|---|---|---|---|---|
| I20160405001346 | UT | Practitioner - Hospitalist |
5698996213 | Reassigns benefits to 1 organization |
| I20211221002852 | MT | Practitioner - Internal Medicine |
5698996213 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9149500-1205 | UT | MD | Internal Medicine Physician |
| 80245 | MT | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kalispell Regional Medical Center Inc | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current |
Accepting new patients | |
| Glacier Regional Pathology, LTD. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current |
Accepting new patients | |
| Kalispell Regional Medical Center Inc | Current |
Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Kalispell Regional Medical Center, Inc | Current |
Accepting new patients | |
| Kalispell Regional Medical Center Inc | Past | Accepting new patients |
Locations
350 Heritage Way
Ste 2100
Kalispell, MT 59901
Phone (406) 257-8992
310 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 751-5310
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
5121 S Cottonwood St
Salt Lake Cty, UT 84107
Phone (801) 408-8998
Interoperability endpoints
- krmcmedicalrecords@krhdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 9149500-1205 | UT | |
| Internal Medicine Physician | 207R00000X | 80245 | MT | |
| Hospitalist Physician | 208M00000X | 80245 | MT | |
| Student in an Organized Health Care Education/Training Program | 390200000X | OR | ||
| Hospitalist Physician | 208M00000X | 9149500-1205 | UT | Yes |
Addresses
Primary practice location
310 Sunnyview LN
Kalispell, MT 59901-3129
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 507-4384
Other practice location 1
5121 S Cottonwood St
Salt Lake City, UT 84107-5701
Phone (801) 507-4384
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | krmcmedicalrecords@krhdirect.org |
Other providers in Kalispell, MT
- Piper L Hadley
- Susan Jane Hagen
- Laurie Halfast
- Nathaniel Lyle Hall
- Yvonne Hall
- Maura Sue Hamilton
- Nichole Hamilton
- Rebecca Eileen Hamilton
- William Neil Hammer
- Nastastia Byrd Han
All providers in Kalispell, MT · Hospitalist Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2024. 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.