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AMMAR MOHAMED-ALI HALLOUM M.D.
NPI 1043300148
Internal Medicine - Pulmonary Disease in Brownsville, TX

Active since October 13, 2006PECOS EnrolledAccepts Medicare Assignment
844 CENTRAL BLVD, 420, BROWNSVILLE, TX 78520(956) 428-7862(956) 440-0395 Get Directions Write a Review

NPPES record last updated: February 29, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ammar Mohamed-ali Halloum M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMMAR MOHAMED-ALI HALLOUM M.D. (NPI 1043300148) is an individual pulmonary disease provider in Brownsville, Texas, licensed in Texas (M4804) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Valley Baptist Medical Center- Brownsville, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1043300148
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameAMMAR MOHAMED-ALI HALLOUMCredential: M.D.
Location Address844 CENTRAL BLVD, 420Brownsville, TX 78520-7552
Mailing Address510 Victoria Lane, Suite 1Harlingen, TX 78550-7840 · (956) 428-7862 · Fax (956) 440-0395
Phone(956) 428-7862
Fax(956) 440-0395
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateOctober 13, 2006
Last NPPES UpdateFebruary 29, 2012
✔ NPI 1043300148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in TX · M4804
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License M4804 (TX)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License M4804 (TX)
844 CENTRAL BLVD, Brownsville, TX 78520
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Other Identifiers 5

Other8A9371TX · Blue Cross Blue Shield
Medicare UPINI68257TX
Medicaid183807002TX
Medicaid183807001TX
Medicare PIN8J1951TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ammar Mohamed-ali Halloum M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911009832
PECOS Enrollment IDI20070223000499
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
215 services91 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
178 services63 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
173 services93 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
25 services23 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services19 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Valley Baptist Medical Center- Brownsville

Acute Care Hospitals · Brownsville, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450028
Location1040 W Jefferson StBrownsville, TX 78520 · Cameron County
Emergency services Birthing friendly

Vhs Harlingen Hospital Company LLC

Acute Care Hospitals · Harlingen, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450033
Location2101 Pease StHarlingen, TX 78550 · Cameron County
Emergency services Birthing friendly

Harlingen Medical Center

Acute Care Hospitals · Harlingen, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450855
Location5501 South Expressway 77Harlingen, TX 78550 · Cameron County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78520 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers21 claims22 services$16.35 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier11 claims11 services$923.20 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers24 claims25 services$80.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BROWNSVILLE PULMONARY CENTER, P.A.
Internal Medicine
844 CENTRAL BLVD, SUITE 420
BROWNSVILLE, TX 78520
Cameron County (956) 428-7862
RICARDO MARTIN SCHWARCZ MD
Internal Medicine (Pulmonary Disease)
844 CENTRAL BLVD, SUITE 420
BROWNSVILLE, TX 78520
Cameron County (956) 542-9900
JOSE LUIS MAYMI MD
Urology
844 CENTRAL BLVD, SUITE 430
BROWNSVILLE, TX 78520
Cameron County (956) 554-4857
INTENSIVE CARE CONSULTANTS, PLLC
Specialist
844 CENTRAL BLVD, SUITE 420
BROWNSVILLE, TX 78520
Cameron County (956) 542-9900
DR. CLAUDIA P GARCIA M.D.
Obstetrics & Gynecology
844 CENTRAL BLVD, SUITE 470
BROWNSVILLE, TX 78520
Cameron County (956) 546-0369
CLAUDIA P. GARCIA, M.D.
Obstetrics & Gynecology
844 CENTRAL BLVD, SUITE 470
BROWNSVILLE, TX 78520
Cameron County (956) 546-0369
BROWNSVILLE PULMONARY CENTER, P.A.
Internal Medicine (Sleep Medicine)
844 CENTRAL BLVD, SUITE 420
BROWNSVILLE, TX 78520
Cameron County (956) 542-9900
BROWNSVILLE WOMEN'S HEALTH CENTER, PLLC
Obstetrics & Gynecology
844 CENTRAL BLVD, SUITE 470
BROWNSVILLE, TX 78520
Cameron County (956) 546-0369

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ammar Halloum's NPI number?

The NPI number for Ammar Halloum is 1043300148. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Ammar Halloum located?

Ammar Halloum practices at 844 Central Blvd 420, Brownsville, TX 78520. The listed phone number is (956) 428-7862.

What is Ammar Halloum's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Ammar Halloum enrolled in Medicare?

Yes. Ammar Halloum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ammar Halloum accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Ammar Halloum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ammar Halloum affiliated with any hospitals?

According to CMS data, Ammar Halloum is affiliated with Valley Baptist Medical Center- Brownsville, Vhs Harlingen Hospital Company LLC and Harlingen Medical Center.

When was this NPI record last updated?

The NPPES record for Ammar Halloum was last updated on February 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.