AMJAD HALLOUM MD
NPI 1124507850
Pediatrics - Pediatric Critical Care Medicine in Indianapolis, IN

Active since August 13, 2018PECOS Enrolled
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202(317) 944-7065 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 17, 2025, Aug 13, 2018 (2 updates tracked since 2018).

About Amjad Halloum Md NPPES

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

AMJAD HALLOUM MD (NPI 1124507850) is an individual pediatric critical care medicine provider in Indianapolis, Indiana, licensed in Indiana (01096209A) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124507850
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameAMJAD HALLOUMCredential: MD
Location Address705 RILEY HOSPITAL DRIndianapolis, IN 46202-5109
Mailing Address705 Riley Hospital DrIndianapolis, IN 46202-5109
Sole ProprietorNo
Enumeration DateAugust 13, 2018
Last NPPES UpdateAugust 18, 20252 updates tracked since enumeration
NPPES CertifiedAugust 18, 2025
NPI 1124507850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License Licensed in IN · 01096209A
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
705 RILEY HOSPITAL DR, Indianapolis, IN 46202

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Amjad Halloum Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

Pediatrics (Neonatal-Perinatal Medicine)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Nurse Practitioner (Family)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Pediatrics (Neonatal-Perinatal Medicine)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Dentist (Pediatric Dentistry)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Nurse Practitioner (Pediatrics)
705 RILEY HOSPITAL DR, RI 1601
INDIANAPOLIS, IN 46202
Dentist (Pediatric Dentistry)
705 RILEY HOSPITAL DR, ROC - SUITE 4205
INDIANAPOLIS, IN 46202

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 Amjad Halloum's NPI number?

The NPI number for Amjad Halloum is 1124507850. It was assigned to this individual provider in the NPPES registry on August 13, 2018.

Where is Amjad Halloum located?

Amjad Halloum practices at 705 Riley Hospital Dr, Indianapolis, IN 46202. The listed phone number is (317) 944-7065.

What is Amjad Halloum's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Amjad Halloum enrolled in Medicare?

Yes. Amjad Halloum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amjad Halloum was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.