Active NPI
Louis Hallal, MD
- Surgery Physician
- Livonia, MI
National Provider Identifier
1861467276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4301062861
- Practice address
- 14555 Levan Rd
Suite E-402
Livonia, MI 48154-5083 - Phone
- (734) 542-1011
- Fax
- (734) 432-0081
- NPI assigned
- Feb 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4301062861 | MI | Primary |
Addresses
Primary practice location
14555 Levan Rd
Suite E-402
Livonia, MI 48154-5083
Mailing address
14555 Levan Rd
Suite E-402
Livonia, MI 48154-5083
Phone (734) 542-1011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3147472 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070605000550 | MI | Practitioner - General Surgery | 6901904507 | Practice locations: Livonia, MI |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318896000000",
"number": "1861467276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14555 LEVAN RD",
"address_2": "SUITE E-402",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481545083",
"telephone_number": "734-542-1011",
"fax_number": "734-432-0081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14555 LEVAN RD",
"address_2": "SUITE E-402",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481545083",
"telephone_number": "734-542-1011",
"fax_number": "734-432-0081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLAL",
"first_name": "LOUIS",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-20",
"last_updated": "2011-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "4301062861",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3147472",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.