Patrick Elie Hallak, M.D

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

036123751 Issued in IL

Practice address

251 E Huron St
Chicago, IL 60611-2908

Phone

(312) 926-6632

NPI assigned

May 21, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

82.97 of 100Reported as group

Quality

72.87

Promoting interoperability

100

Improvement activities

40

Cost

67.82

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://sehproxy.stelizabeth.com/arr-fhir/api/FHIR/R4
• Direct secure messaging: phallak228471@direct-prd.stelizabeth.com

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.

• MGMC, LLC

  • General Practice Physician
  • Washington, DC
  • NPI 1891797148
  Medicare reassignment NPD
• Bluegrass Renal Care, PSC

  dba Bluegrass Medical Alliance

  • Internal Medicine Physician
  • Lexington, KY
  • NPI 1831936343
  NPD
• Medstar Medical Group II LLC

  • General Practice Physician
  • White Plains, MD
  • NPI 1407559081
  NPD
• MGMC LLC

  • Psychiatry Physician
  • Washington, DC
  • NPI 1316949654
  NPD
• Baptist Physicians Lexington, Inc

  dba Baptist Palliative Medicine

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Lexington, KY
  • NPI 1043403082
  NPD (past)
• Baptist Physicians Lexington, Inc

  dba Baptist Palliative Medicine

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Lexington, KY
  • NPI 1043583115
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Hendricks County Hospital

  dba Hendricks Regional Health Immediate Care

  • Urgent Care Clinic/Center
  • Avon, IN
  • NPI 1063411551
  NPD (past)
• Hendricks County Hospital

  dba Stafford Pointe Family Physicians

  • Family Medicine Physician
  • Plainfield, IN
  • NPI 1104927557
  NPD (past)

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1770740144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 E HURON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112908",
            "telephone_number": "317-837-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 E HURON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112908",
            "telephone_number": "312-926-6632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Harrodsburg Rd",
            "address_2": "C335",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405043751",
            "country_code": "US",
            "telephone_number": "859-276-5355",
            "fax_number": "859-277-1843",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 Harrodsburg Rd",
            "address_2": "C335",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405043751",
            "country_code": "US",
            "telephone_number": "859-276-5355",
            "fax_number": "859-277-1843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALLAK",
        "first_name": "PATRICK",
        "middle_name": "ELIE",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036123751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "phallak228471@direct-PRD.stelizabeth.com",
            "affiliation": "N",
            "address_1": "100 Hospital Ln Ste 145",
            "city": "Danville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461222000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tyler Hall
• Willie Hall, CADC
• Julia Ruth Hallack, APRN, CNP
• Olivia Marie Hallagan, MS, CCC-SLP
• Nadia Hallak, PSYD.
• Erin L Hallar, APN-CRNA
• Matthew Hallas, DMD
• Elizabeth Marie Hallau, PA-C
• Davis Hallberg, DPT
• Heather Lynn Hallberg, D.T.

• Nephrology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Nephrology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.

Verify at the official NPI Registry.