Active NPI
Abhirami Hallock, MD
- Radiation Oncology Physician
- Detroit, MI
National Provider Identifier
1972884286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 4301099675
- Practice address
- 4201 Saint Antoine St
1D Uhc
Detroit, MI 48201-2153 - Phone
- (800) 527-6266
- Fax
- (313) 745-2314
- NPI assigned
- Aug 31, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 4301099675 | MI | Primary |
Addresses
Primary practice location
4201 Saint Antoine St
1D Uhc
Detroit, MI 48201-2153
Mailing address
1420 Stephenson Hwy
Troy, MI 48083-1189
Phone (800) 527-6266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 High St
Buffalo, NY 14203-1126
Phone (716) 859-3460
40 George Karl Blvd
Suite 200
Amherst, NY 14221-7183
Phone (716) 218-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301099675 | MI | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University at Buffalo Neurosurgery, Inc. | Current | Accepting new patients | |
| University at Buffalo Neurosurgery, Inc. | Current | Accepting new patients |
Locations
100 High St
Buffalo, NY 14203
Phone (716) 632-3700
40 George Karl Blvd
Williamsville, NY 14221
Phone (716) 539-0888
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.
-
- Neurological Surgery Physician
- Williamsville, NY
- NPI 1306896220
-
- Specialist
- Niagara Falls, NY
- NPI 1295287662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335916800000",
"number": "1972884286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 STEPHENSON HWY",
"city": "TROY",
"state": "MI",
"postal_code": "480831189",
"telephone_number": "800-527-6266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 SAINT ANTOINE ST",
"address_2": "1D UHC",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012153",
"telephone_number": "800-527-6266",
"fax_number": "313-745-2314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLOCK",
"first_name": "ABHIRAMI",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-31",
"last_updated": "2012-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "MI",
"license": "4301099675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.