HALO MEDICAL GROUP PLLC
NPI 1750604526
Nurse Practitioner - Family in Detroit, MI

NPI Status: Active since March 09, 2010

Contact Information

4160 JOHN R ST
SUITE 510
DETROIT, MI
ZIP 48201
Phone: (313) 993-7777
Fax: (313) 993-2563

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  • Organization
  • Nurse Practitioner
  • Family
  • CLIA Number: 23D2006205
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-31-2026

About HALO MEDICAL GROUP PLLC

This page provides the complete NPI Profile along with additional information for Halo Medical Group Pllc, a provider established in Detroit, Michigan operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1750604526 assigned on March 2010. The practitioner's primary taxonomy code is 363LF0000X with license number 4704226174 (MI). The provider is registered as an organization and their NPI record was last updated 7 years ago. Halo Medical Group Pllc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's former legal business name is Heart And Vascular Institute. The authorized official of this NPI record is Dr. Mahir Darrar Elder Md (Cardiologist)

NPI
1750604526
Provider Legal Name
HALO MEDICAL GROUP PLLC
Other Organization Name
HEART AND VASCULAR INSTITUTE
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
4160 JOHN R ST SUITE 510 DETROIT, MI 48201
Location Phone
(313) 993-7777
Location Fax
(313) 993-2563
Mailing Address
22720 MICHIGAN AVE STE 200 DEARBORN, MI 48124
Mailing Phone
(313) 791-3000
Mailing Fax
(313) 993-2563
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-09-2010
Last Update Date
07-27-2018
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A nurse practitioner (NP) like Halo Medical Group Pllc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
4704226174
License State
MI

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
2207RC0000XAllopathic & Osteopathic Physicians

Internal Medicine
Cardiovascular Disease

 
3207RE0101XAllopathic & Osteopathic Physicians

Internal Medicine
Endocrinology, Diabetes & Metabolism

 
4207RI0011XAllopathic & Osteopathic Physicians

Internal Medicine
Interventional Cardiology

 
5208000000XAllopathic & Osteopathic Physicians

Pediatrics

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MAHIR DARRAR ELDER MD

Authorized Official Title
CARDIOLOGIST
Authorized Official Phone
(313) 993-7777

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1811214489OTHER (01)NPI

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D2006205
Facility Type
Physician Office
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
MAHIR D. ELDER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Halo Medical Group Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for HALO MEDICAL GROUP PLLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750604526
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27100120854
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 2 + 0 + 8 + 5 + 4 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1750604526 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1508864240DR. UMA D GORREPATI MD
Individual
Internal Medicine4160 JOHN R ST SUITE 730
DETROIT, MI 48201
(313) 831-7005
1124012778DR. SUSAN CLAIRE SMOLINSKE PHARM.D.
Individual
Pharmacist (Pharmacotherapy)4160 JOHN R ST
DETROIT, MI 48201
(313) 745-5430
1841257029DR. ANGELA BULLY M.D.
Individual
Internal Medicine4160 JOHN R ST SUITE 804
DETROIT, MI 48201
(313) 833-1271
1922056829DR. CYNTHIA K AARON M.D.
Individual
Emergency Medicine (Medical Toxicology)4160 JOHN R ST SUITE 616
DETROIT, MI 48201
(313) 993-8791
1760436430 JEFFREY R RUBIN MD
Individual
Surgery (Vascular Surgery)4160 JOHN R ST SUITE 615
DETROIT, MI 48201
(313) 745-4195
1356388391 USHA SINGAL M.D.
Individual
Internal Medicine4160 JOHN R ST
DETROIT, MI 48201
(313) 833-1333
1790723427 AMELIA MARIE SKALESKI CNP
Individual
Nurse Practitioner (Adult Health)4160 JOHN R ST SUITE 510
DETROIT, MI 48201
(313) 993-7777
1881633170 SATISH MARYALA M.D.
Individual
Internal Medicine (Gastroenterology)4160 JOHN R ST SUITE 917
DETROIT, MI 48201
(313) 745-4525
1770524639DETROIT MEDICAL SERVICE PLC
Organization
Internal Medicine4160 JOHN R ST SUITE 730
DETROIT, MI 48201
(313) 831-7005
1639193394DR. CHITRANJAN LALL M.D.
Individual
Obstetrics & Gynecology (Gynecology)4160 JOHN R ST SUITE 507
DETROIT, MI 48201
(313) 745-7445
1801810056MRS. RHONDA SHERISE LUCAS LMSW, ACSW
Individual
Social Worker (Clinical)4160 JOHN R ST 824
DETROIT, MI 48201
(313) 671-3912
1932118775DR. SHOEB M KOSGI M.D.
Individual
Internal Medicine4160 JOHN R ST SUITE 615
DETROIT, MI 48201
(313) 745-4525
1669566642MRS. LAURRIE ANN MURPHY KNIGHT M.D.
Individual
Internal Medicine4160 JOHN R ST SUITE 729
DETROIT, MI 48201
(313) 831-8303
1831274786DR. LOURDES VILLALOBOS ANDAYA MD
Individual
Psychiatry & Neurology (Neurology)4160 JOHN R ST SUITE 819
DETROIT, MI 48201
(313) 832-2880
1467522110 KEVIN E TILL DPM
Individual
Podiatrist4160 JOHN R ST STE 1012
DETROIT, MI 48201
(313) 831-6442
1164592820KEVIN E TILL DPM PC
Organization
Podiatrist4160 JOHN R ST STE 1012
DETROIT, MI 48201
(313) 831-6442
1609919539JOSEPH G. TALBERT, M.D., PLLC
Organization
Specialist/Technologist Cardiovascular4160 JOHN R ST SUITE 1011
DETROIT, MI 48201
(313) 993-7010
1225241532 LIVIA LORETA FRANCHINA R.PH.
Individual
Pharmacist4160 JOHN R ST SUITE 522
DETROIT, MI 48201
(313) 745-7246
1922215201ANGELA BULLY M.D., P.L.L.C.
Organization
Internal Medicine4160 JOHN R ST SUITE 804
DETROIT, MI 48201
(313) 833-1271
1598963084DR. SABEENA MISRA M.D.
Individual
Internal Medicine (Gastroenterology)4160 JOHN R ST SUITE 917
DETROIT, MI 48201
(313) 745-4525

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750604526, enumerated in the NPI registry as an "organization" on March 09, 2010

The provider is located at 4160 John R St Suite 510 Detroit, Mi 48201 and the phone number is (313) 993-7777

This medical organization specializes in Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 23D2006205 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on March 09, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.