Halo Healthcare, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HALO HEALTHCARE, PLLC

Practice address

4131 Main St
Philadelphia, PA 19127-2126

Phone

(610) 613-1504

Fax

(215) 935-4906

NPI assigned

Feb 18, 2021

Last updated

Jul 14, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sarthi S Dalal, DONPI 1770076465

Title

Chief Executive Officer

Phone

(610) 613-1504

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sarthi Dalal, DO

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1770076465
  Authorized official Same address or phone
• Matthew Ryan Kavalek, MD

  • Family Medicine Physician
  • King of Prussia, PA
  • NPI 1871156398
  NPD (past)

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1891388062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 MAIN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191272126",
            "telephone_number": "610-613-1504",
            "fax_number": "215-935-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 MAIN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191272126",
            "telephone_number": "610-613-1504",
            "fax_number": "215-935-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALO HEALTHCARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-07-14",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "DALAL",
        "authorized_official_first_name": "SARTHI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "610-613-1504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1038263750001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Hallowell, MD
• Sarah Hallowell, CRNP
• Sunny Gaye Hallowell, CRNP
• Deborah Lynn Hallquist, RN, MSN, CRNP, RNFA
• Ravindra C Hallur, M.D.
• Halo Home Care LLC
• Halo Staffing Agency, LLC (Halo Home Care Agency)
• Halo Staffing Agency, LLC (Halo Home Care Staffing Agency)
• Halo Virgin Hair Extensions LLC
• Eitan Halper-Stromberg, MD

• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.