Ammar Al-Hallak, M.D.

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

E2374 Issued in AR

Practice address

201 E Oak Ave
Jonesboro, AR 72401

Phone

(870) 935-6729

Fax

(870) 268-4410

NPI assigned

Jun 16, 2005

Last updated

Apr 3, 2015By 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 2

Medicare fee-for-service enrollment

Enrolled in AR

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

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Bernards Physician Clinics IncGroup PAC ID 7012311269, 211 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Arkansas Methodist Medical Center Hospital, Paragould, AR, CCN 040039
• St Bernards Medical Center Hospital, Jonesboro, AR, CCN 040020

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aalhallak@sbpc.medalliesdirect.net

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.

• St Bernards Physician Clinics Inc

  dba St Bernards Surgical Associates

  • Surgery Physician
  • Jonesboro, AR
  • NPI 1447923438
  Medicare reassignment Care Compare group NPD
• Arkansas Methodist Hospital Corporation

  dba AMMC Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Paragould, AR
  • NPI 1962644781
  Medicare reassignment NPD
• Piggott Community Hospital

  • Emergency Medical Services (Emergency Medicine) Physician
  • Piggott, AR
  • NPI 1871555185
  Medicare reassignment NPD
• Arkansas Methodist Hospital Corporation

  dba AMMC Physician Group

  • Otolaryngology Physician
  • Paragould, AR
  • NPI 1205457405
  NPD
• Baptist Memorial Hospital-Jonesboro Inc

  dba NEA Baptist Memorial Hospital

  • General Acute Care Hospital
  • Jonesboro, AR
  • NPI 1386699353
  NPD
• Piggott Community Hospital

  • Critical Access Hospital
  • Piggott, AR
  • NPI 1891781837
  NPD
• St Bernards Physician Clinics Inc

  • Obstetrics & Gynecology Physician
  • Jonesboro, AR
  • NPI 1083307896
  NPD
• St Bernards Physician Clinics Inc

  • Diagnostic Radiology Physician
  • Jonesboro, AR
  • NPI 1780546051
  NPD
• Arrhythmia Associates of Nea, LLC

  dba CoreCare Medical Group

  • Cardiovascular Disease Physician
  • Batesville, AR
  • NPI 1407949555
  NPD (past)
• Cardiology Associates of Northeast Arkansas

  • Specialist
  • Jonesboro, AR
  • NPI 1215966049
  NPD (past)

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

• Arkansas Methodist Hospital Corporation

  dba Arkansas Methodist Medical Center

  • General Acute Care Hospital
  • Paragould, AR
  • NPI 1437222312
  Care Compare affiliation
• St Bernards Hospital Inc

  dba St Bernards Medical Center

  • General Acute Care Hospital
  • Jonesboro, AR
  • NPI 1922043686
  Care Compare affiliation

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428019200000",
    "number": "1962407940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E OAK AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "72401",
            "telephone_number": "870-935-6729",
            "fax_number": "870-268-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E OAK AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "72401",
            "telephone_number": "870-935-6729",
            "fax_number": "870-268-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-HALLAK",
        "first_name": "AMMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2015-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AR",
            "license": "E2374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139037001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LISCENSE",
            "identifier": "E2374",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brendon Andrew Aitken, PT, DPT
• Aj's House With a Heart in Home Care LLC
• Fauzia Akbary, M.D.
• Eric D Akin, MD
• Gordon Clay Akin, MD
• Ahmad Al-Hindi, MD
• Ranya Haidar Al-Khafaji, MD
• Duha Mohd Abdelhameed Al-Smadi, MD
• Chasity C Alcazar, CRNA
• Martha Aldridge

• Interventional Cardiology Physician in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Interventional Cardiology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; 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.