Halo Medical Group - Medicare Primary Care in Indian Wells, CA

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Halo Medical Group is a medicare enrolled primary clinic (Radiology - Diagnostic Radiology) in Indian Wells, California. The current practice location for Halo Medical Group is 74785 Us Highway 111, Suite 101, Indian Wells, California. For appointments, you can reach them via phone at (760) 776-8989. The mailing address for Halo Medical Group is Po Box 841163, Los Angeles, California and phone number is (760) 776-8989.

Halo Medical Group is licensed to practice in California (license number FNP25453). The clinic also participates in the medicare program and its NPI number is 1467506451. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (760) 776-8989.

Contact Information

Halo Medical Group
74785 Us Highway 111
Suite 101
Indian Wells
CA 92210-7128
(760) 776-8989
(760) 501-0311

Map and Direction


Primary Care Clinic Profile

Full NameHalo Medical Group
SpecialityRadiology
Location74785 Us Highway 111, Indian Wells, California
Authorized Official Name and PositionCory Hammond (CFO)
Authorized Official Contact7607768989
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Halo Medical Group
Po Box 841163
Los Angeles
CA 90084-1163

Ph: (760) 776-8989		Halo Medical Group
74785 Us Highway 111
Suite 101
Indian Wells
CA 92210-7128

Ph: (760) 776-8989

NPI Details:

NPI Number1467506451
Provider Enumeration Date01/23/2007
Last Update Date04/22/2022

Medicare PECOS Information:

Medicare PECOS PAC ID7012806052
Medicare Enrollment IDO20040315001110

Medical Identifiers

Medical identifiers for Halo Medical Group such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467506451NPI-NPPES
ZZZ02402ZOtherCABLUE SHIELD PIN
ZZZ02402ZOtherCABLUE CROSS
ZZZ64094ZOtherCABLUE SHIELD PIN
ZZZ64094ZOtherCABLUE CROSS
GR0083072MedicaidCA
GR0083073MedicaidCA
CK9031OtherCARAILROAD MEDICARE
ZZZ57290ZOtherCABLUE SHIELD PIN
ZZZ05859ZOtherCABLUE CROSS
ZZZ57290ZOtherCABLUE CROSS
GR0083070MedicaidCA
GR0083071MedicaidCA
ZZZ05859ZOtherCABLUE SHIELD PIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207V00000XObstetrics & Gynecology (* (Not Available))Secondary
213E00000XPodiatrist (* (Not Available))Secondary
2085N0700XRadiology - Neuroradiology (* (Not Available))Secondary
2085R0204XRadiology - Vascular & Interventional Radiology (* (Not Available))Secondary
2085U0001XRadiology - Diagnostic Ultrasound (* (Not Available))Secondary
208800000XUrology (* (Not Available))Secondary
2085R0202XRadiology - Diagnostic Radiology FNP25453 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Halo Medical Group acts as a billing entity for following providers:
Provider NameRobert O Lindsey
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1578524468
PECOS PAC ID: 5991607285
Enrollment ID: I20040126000956
Provider NameSydney L Stevens
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1053422279
PECOS PAC ID: 4082519533
Enrollment ID: I20050413001245
Provider NameJohn F Feller
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1114927050
PECOS PAC ID: 2567403470
Enrollment ID: I20050519001151
Provider NameCraig S Letner
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1477516805
PECOS PAC ID: 1759327760
Enrollment ID: I20050629001214
Provider NameHerman R Mcdaniel
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1063524130
PECOS PAC ID: 9335185180
Enrollment ID: I20050630001170
Provider NameAdam Brochert
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1033169339
PECOS PAC ID: 0547256331
Enrollment ID: I20050913001349
Provider NameRagu C Nathan
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1467413344
PECOS PAC ID: 0547280638
Enrollment ID: I20060818000280
Provider NameLisa M Bodon
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1063619013
PECOS PAC ID: 2668567009
Enrollment ID: I20071011000202
Provider NameAndrew B Harris
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1174563399
PECOS PAC ID: 4688686520
Enrollment ID: I20071108000695
Provider NameMauricio Schrader
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1497792626
PECOS PAC ID: 0749192847
Enrollment ID: I20080811000551
Provider NameMersedeh Karimian
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1952516304
PECOS PAC ID: 3678633880
Enrollment ID: I20081118000505
Provider NamePedram Ilbeigi
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1609827336
PECOS PAC ID: 2062424674
Enrollment ID: I20081205000510
Provider NameIraj Nabi
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1407950777
PECOS PAC ID: 8325196405
Enrollment ID: I20090429000219
Provider NamePatricia E Hadley
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1750393633
PECOS PAC ID: 3971651803
Enrollment ID: I20090504000452
Provider NameRafal Sosnowski
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1699941039
PECOS PAC ID: 5294889275
Enrollment ID: I20090811000523
Provider NameJeffrey Herz
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1124091772
PECOS PAC ID: 3173660321
Enrollment ID: I20091021000435
Provider NameNilofar Firooznia
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1962521419
PECOS PAC ID: 7719070895
Enrollment ID: I20100128000726
Provider NameRamin Akhavan
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1861561300
PECOS PAC ID: 6103856893
Enrollment ID: I20100813000422
Provider NameSamuel S Lee
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1194772418
PECOS PAC ID: 5496828485
Enrollment ID: I20100910000977
Provider NameChristopher R Hancock
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1922128255
PECOS PAC ID: 8628167673
Enrollment ID: I20110511000220
Provider NameSean C Chang
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1801108568
PECOS PAC ID: 8325216518
Enrollment ID: I20110713000630
Provider NameJonathan W Blevins
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1477710127
PECOS PAC ID: 0840463030
Enrollment ID: I20111103000556
Provider NameOmar S Arafat
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1649581679
PECOS PAC ID: 0648434605
Enrollment ID: I20120604000506
Provider NameTimmy M Joseph
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1669639175
PECOS PAC ID: 2365681343
Enrollment ID: I20130624000492
Provider NameRex M Pillai
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1295979441
PECOS PAC ID: 7214151026
Enrollment ID: I20140618001193
Provider NameEdmund Hong-sing Wong
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1336352335
PECOS PAC ID: 6800063041
Enrollment ID: I20140701000689
Provider NameFarshid Mirzaee
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1194969436
PECOS PAC ID: 8820214208
Enrollment ID: I20140721000790
Provider NamePaul A Baez
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1982654976
PECOS PAC ID: 4880628304
Enrollment ID: I20141218001161
Provider NameNghi Lu
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1235467143
PECOS PAC ID: 9436472990
Enrollment ID: I20150108001694
Provider NameCesar A Mora-esteves
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1588857460
PECOS PAC ID: 2264758325
Enrollment ID: I20150307000194
Provider NameLara S Bussey
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1851590061
PECOS PAC ID: 1052484128
Enrollment ID: I20150527002137
Provider NameDavid Nhat Tran
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1992930465
PECOS PAC ID: 7416188529
Enrollment ID: I20150603000973
Provider NameNatalie P Chen
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1952747925
PECOS PAC ID: 7416268677
Enrollment ID: I20150616000040
Provider NameBobby S Alexander
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1235575903
PECOS PAC ID: 9638485220
Enrollment ID: I20150827000490
Provider NameArsalan Siddiqui
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1083975361
PECOS PAC ID: 5092030304
Enrollment ID: I20160606001044
Provider NameMartin P Edwards
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1457641086
PECOS PAC ID: 5496048688
Enrollment ID: I20160726001343
Provider NameMelissa Mae Lun Shiozaki
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649712753
PECOS PAC ID: 9537449178
Enrollment ID: I20161216001696
Provider NameCrystal E May
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1235475518
PECOS PAC ID: 8729356563
Enrollment ID: I20170619002750
Provider NameSteven R Gunberg
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1902817810
PECOS PAC ID: 3274438668
Enrollment ID: I20171107001878
Provider NameMarianne J Gregorich
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861727653
PECOS PAC ID: 3971646928
Enrollment ID: I20171128002598
Provider NameFelipe Vinicio Espinoza
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1942289376
PECOS PAC ID: 1153342621
Enrollment ID: I20180103002873
Provider NameEvan Richard Allgood
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1528403557
PECOS PAC ID: 0648535948
Enrollment ID: I20180606003134
Provider NameLorraine Rabadi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548825953
PECOS PAC ID: 3173889086
Enrollment ID: I20190619003529
Provider NameVladislav Bargman
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1508951997
PECOS PAC ID: 3072584317
Enrollment ID: I20190711001991
Provider NameSaman Shafaat Talab
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1598185100
PECOS PAC ID: 5395070361
Enrollment ID: I20190712001524
Provider NameArian E Mashhood
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1629411061
PECOS PAC ID: 3870842081
Enrollment ID: I20190719000816
Provider NameAshutosh Shelat
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1851778096
PECOS PAC ID: 9739489345
Enrollment ID: I20200605000506
Provider NameSatinderpal S Khera
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1972990265
PECOS PAC ID: 9830515238
Enrollment ID: I20200702000902
Provider NameAlina Feldman
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1902225089
PECOS PAC ID: 4981021342
Enrollment ID: I20200831001142
Provider NameSloan Gordon
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1700881257
PECOS PAC ID: 9335119247
Enrollment ID: I20210521001411
Provider NameCatherine Marie Bianchi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1164910147
PECOS PAC ID: 2466856323
Enrollment ID: I20210813003068
Provider NameMegan N Icole Baikie
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1205323110
PECOS PAC ID: 3072918960
Enrollment ID: I20210816000903
Provider NameBao Nguyen
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1982641916
PECOS PAC ID: 9032013461
Enrollment ID: I20211020002290
Provider NameSarah Nicole Katz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528672052
PECOS PAC ID: 6901291327
Enrollment ID: I20220322002973
Provider NamePrashant Jolepalem
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1174835003
PECOS PAC ID: 2860623360
Enrollment ID: I20220715002348
Provider NameAbdullah M Malkawi
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1043565500
PECOS PAC ID: 6800197401
Enrollment ID: I20230320002413
Provider NameSteven Lewis
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1376981183
PECOS PAC ID: 2567726755
Enrollment ID: I20230718003659
Provider NameZara Wadood
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1750813432
PECOS PAC ID: 1850662925
Enrollment ID: I20231201002230

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.