| NPI | 1083614416 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2005-07-28 |
| Last Updated | 2011-03-15 |
| Mailing Address | 1964 State St, Suite 100 New Albany, IN 47150-4934 United States Phone: (812) 948-1641 | Fax: (812) 941-0438 📍 View Map |
| Primary Practice Address | 1964 State St, Suite 100 New Albany, IN 47150-4934 United States Phone: (812) 948-1641 | Fax: (812) 941-0438 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | IN | 000000042312 | Anthem |
| MEDICAID | IN | 100115500A | — |
| Other (non-Medicare) | IN | 351359575 | Commercial |
| Other (non-Medicare) | OH | 35135957500 | Ohio Bureau of Workers' C |
| Other (non-Medicare) | IN | I001704 | Tricare /Champus |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207Q00000X – Family Medicine | IN | 01025361A |
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About NPI 1083614416
Eli R Hallal M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1083614416. The primary specialty listed is Family Medicine. The provider is located in New Albany, IN. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-07-28. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1083614416?
NPI 1083614416 belongs to Eli R Hallal M.D., a Family Medicine in New Albany, IN. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1083614416 active?
The current status of NPI 1083614416 in the NPPES registry is Active. The record was last updated on 2011-03-15.
What specialty is NPI 1083614416?
NPI 1083614416 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1083614416?
You can verify NPI 1083614416 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1083614416?
The primary practice address on file for NPI 1083614416 is 1964 State St, New Albany, IN 47150-4934. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1083614416 issued?
NPI 1083614416 was first issued (enumerated) on 2005-07-28. The NPPES record was last updated on 2011-03-15.
Practice Location Map
Eli R Hallal is located at 1964 State St, New Albany, IN. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Eli R Hallal. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1083614416. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Family Medicine | 01025361A | IN |