Issam Afif Halaby, M.D.,PH.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME83954 Issued in FL

Practice address

436 Nokomis Ave S
Venice, FL 34285-2617

Phone

(941) 445-5054

Fax

(941) 303-6796

NPI assigned

Nov 20, 2006

Last updated

Mar 14, 2022By the provider in NPPES

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

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

General Surgery

Education

University of Rochester School of Medicine and Dentistry, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Surgical Associates of Venice and Englewood PAGroup PAC ID 3274422191, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Patients First Home Care LLC Home health agency, Sarasota, FL, CCN 687176
• HCA Florida Sarasota Doctors Hospital Hospital, Sarasota, FL, CCN 100166
• HCA Florida Englewood Hospital Hospital, Englewood, FL, CCN 100267
• Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1485
• Direct secure messaging: ihalaby@save.gwaydirect.com

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.

• Surgical Associates of Venice and Englewood, PA

  • Surgery Physician
  • Venice, FL
  • NPI 1376689232
  Medicare reassignment Care Compare group NPD
• SMH Physician Services Inc

  dba First Physicians Group

  • Internal Medicine Physician
  • Sarasota, FL
  • NPI 1346295292
  NPD (past)
• Stephen H Levine MD Facs PA

  • Surgery Physician
  • Ormond Beach, FL
  • NPI 1851571053
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Englewood Community Hospital, Inc.

  dba HCA Florida Englewood Hospital

  • General Acute Care Hospital
  • Englewood, FL
  • NPI 1639122864
  Care Compare affiliation
• Patients First Home Care, LLC

  • Home Health Agency
  • Sarasota, FL
  • NPI 1245845312
  Care Compare affiliation
• Sarasota County Public Hospital District

  dba Sarasota Memorial Hospital

  • General Acute Care Hospital
  • Sarasota, FL
  • NPI 1245294826
  Care Compare affiliation
• Sarasota Doctors Hospital Inc

  dba HCA Florida Sarasota Doctors Hospital

  • General Acute Care Hospital
  • Sarasota, FL
  • NPI 1003862053
  Care Compare affiliation

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1861566119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 NOKOMIS AVE S",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852617",
            "telephone_number": "941-445-5054",
            "fax_number": "941-303-6796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 NOKOMIS AVE S",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852617",
            "telephone_number": "941-445-5054",
            "fax_number": "941-303-6796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1283 Jacaranda Blvd",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342924522",
            "country_code": "US",
            "telephone_number": "941-445-5054",
            "fax_number": "941-303-6796",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Jacaranda Blvd",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342924535",
            "country_code": "US",
            "telephone_number": "941-445-5054",
            "fax_number": "941-303-6796",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 Laurel Rd E",
            "address_purpose": "LOCATION",
            "city": "North Venice",
            "state": "FL",
            "postal_code": "342753226",
            "country_code": "US",
            "telephone_number": "941-455-5054",
            "fax_number": "941-303-6796",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "540 The Rialto",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342852900",
            "country_code": "US",
            "telephone_number": "941-445-5054",
            "fax_number": "941-303-6796",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2540 Tamiami Trl",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342394501",
            "country_code": "US",
            "telephone_number": "941-445-5054",
            "fax_number": "941-303-6796",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "512 Nokomis Ave S",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342852817",
            "country_code": "US",
            "telephone_number": "941-445-5054",
            "fax_number": "941-303-6796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALABY",
        "first_name": "ISSAM",
        "middle_name": "AFIF",
        "name_prefix": "Dr.",
        "credential": "M.D.,PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME83954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2419854",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00303804",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP TAX ID #",
            "identifier": "59-1362995",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL HEALTH CARE",
            "identifier": "12604",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE MPIN",
            "identifier": "303424",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD GROUP",
            "identifier": "00778",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "08597",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Menno Hack
• Sandra Hack, MS, LPC, LMHC
• Linda Susan Hahn X
• Justin Guy Haines, PMHNP
• Patricia Haines
• Bonnie D Haley, LCSW R
• Susan Haley, LCSW
• Vanessa Hamalian, ARNP
• Cheryl L. Hamlin, LCSW
• Hanna Hamm

• Surgery Physician in Venice, FL
• Providers in Venice, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.