Individual provider Active NPI

Moussa El-Hallak, M.D.

  • Pediatric Rheumatology Physician
  • Beachwood, OH
National Provider Identifier
1831381524
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Rheumatology PhysicianTaxonomy code 2080P0216X
License
35.120222 Issued in OH
Practice address
23215 Commerce Park Ste 318
Beachwood, OH 44122-5803
Phone
(216) 755-4044
Fax
(330) 967-0571
NPI assigned
Aug 16, 2007
Reactivated
Dec 17, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Rheumatology Physician 2080P0216X 35.120222 OH Primary

Addresses

Primary practice location

23215 Commerce Park Ste 318
Beachwood, OH 44122-5803

Mailing address

23215 Commerce Park Ste 318
Beachwood, OH 44122-5803
Phone (216) 755-4044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20130805000405 OH Practitioner - RheumatologyPractitioner - Pediatric Medicine 0042452005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Pediatric Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

23215 Commerce Park
Suite 318
Beachwood, OH 44122-5803
Phone (216) 755-4044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
El-Hallak Rheumatology and Specialty Infusion Services LLC Pediatric Rheumatology CurrentSince Mar 1, 2018 Accepting new patients
Carepoint Infusion LLC CurrentSince Nov 20, 2022 Accepting new patients

Locations

23215 Commerce Park
Ste 318
Beachwood, OH 44122
Phone (216) 755-4044

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1831381524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23215 COMMERCE PARK STE 318",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225803",
            "telephone_number": "216-755-4044",
            "fax_number": "330-967-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23215 COMMERCE PARK STE 318",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225803",
            "telephone_number": "216-755-4044",
            "fax_number": "330-967-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-HALLAK",
        "first_name": "MOUSSA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-16",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "deactivation_date": "2019-11-20",
        "reactivation_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0216X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Rheumatology",
            "state": "OH",
            "license": "35.120222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.