Halah Hamzeh, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

01059516A Issued in IN

Practice address

99 E 86TH Ave Ste D
Merrillville, IN 46410-6267

Phone

(219) 736-9690

Fax

(219) 736-9691

NPI assigned

Nov 28, 2005

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southlake Pediatrics

  • Pediatrics Physician
  • Merrillville, IN
  • NPI 1629272729
  Authorized official Same address or phone

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1780667428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10518",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464110518",
            "telephone_number": "219-662-3931",
            "fax_number": "219-663-6359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 E 86TH AVE STE D",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106267",
            "telephone_number": "219-736-9690",
            "fax_number": "219-736-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMZEH",
        "first_name": "HALAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-28",
        "last_updated": "2022-07-21",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01059516A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "01059516A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSR",
            "identifier": "01059516B",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200804350A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Lynn Hammett, D.C.
• Ashlee Hampton
• Emily Hampton
• James Hampton
• Jennifer Hampton
• Amy Wong Han, PH.D
• Dennis P Han, M.D
• Martha Hanenburg
• Hanger Prosthetics & Orthotics East Inc
• Hanger Prosthetics & Orthotics East Inc (Hanger Clinic)

• Pediatrics Physician in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Pediatrics Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.