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

Q: What is Halo Medical Group PLLC's NPI number?

The NPI number for Halo Medical Group PLLC is 1750604526. It was assigned to this organization in the NPPES registry on March 9, 2010. The provider was formerly known as Heart And Vascular Institute.

Q: What is Halo Medical Group PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since March 09, 2010CLIA Certified · 2 labs

4160 JOHN R ST, SUITE 510, DETROIT, MI 48201(313) 993-7777(313) 993-2563 Get Directions Write a Review

NPPES record last updated: July 27, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Halo Medical Group Pllc NPPES

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

HALO MEDICAL GROUP PLLC (NPI 1750604526), doing business as Heart And Vascular Institute, is a healthcare organization registered as a family in Detroit, Michigan and active in the NPI registry since March 2010. The organization holds 2 active CLIA laboratory certificates and lists Mahir Darrar Elder, Cardiologist, as its authorized official.

NPPES Registry Identity

NPI1750604526

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameHALO MEDICAL GROUP PLLC

Location Address4160 JOHN R ST, SUITE 510Detroit, MI 48201

Mailing Address22720 Michigan Ave Ste 200Dearborn, MI 48124-2021 · (313) 791-3000 · Fax (313) 791-2800

Phone(313) 993-7777

Fax(313) 993-2563

Organization SubpartNo

Authorized OfficialMahir Darrar ElderCardiologist · (313) 993-7777

Enumeration DateMarch 9, 2010

Last NPPES UpdateJuly 27, 2018

✔ NPI 1750604526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MI · 4704226174

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X

Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X

Also ListedPediatricsTaxonomy 208000000X

4160 JOHN R ST, Detroit, MI 48201

Open in Google Maps ↗

Other Names 1

Former Legal Business NameHeart And Vascular Institute

Other Identifiers 1

Other1811214489Npi

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2006205

Halo Medical Group PLLC · Dearborn, MI

Active · expires Aug 31, 2026

CLIA Number23D2006205

Laboratory TypePhysician Office

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorMahir D. Elder

Laboratory Phone(313) 791-3000

Laboratory LocationHalo Medical Group PLLC22720 Michigan Avenue Suite 200, Dearborn, MI 48124

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 23D1028316

Halo Medical Group PLLC · Wayne, MI

Active · expires Jul 21, 2028

CLIA Number23D1028316

Laboratory TypePhysician Office

Certificate Effective DateJuly 22, 2026

Certificate Expiration DateJuly 21, 2028

Laboratory DirectorBassel Hassouna

Laboratory Phone(313) 791-3000

Laboratory LocationHalo Medical Group PLLC4020 Veroy Road Suite 200, Wayne, MI 48184

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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.

ASHRAF ELSDEEK MOHAMED M.D.

Psychiatry & Neurology (Neurology)

4160 JOHN R ST
DETROIT, MI 48201

Wayne County (313) 833-8467

CHARLES EDWARD LUCAS MD

Surgery

4160 JOHN R ST, SUITE 615
DETROIT, MI 48201

Wayne County (313) 745-4195

DR. JOYA A GANGULY MD

Internal Medicine (Clinical Cardiac Electrophysiology)

4160 JOHN R ST, SUITE 510
DETROIT, MI 48201

Wayne County (313) 993-7777

YOUNG HO SOHN MD PLLC

Specialist

4160 JOHN R ST, SUITE 515
DETROIT, MI 48201

Wayne County (313) 832-1440

KARIN CALVITI

Audiologist

4160 JOHN R ST
DETROIT, MI 48201

Wayne County (313) 966-9471

MICHELLE BASTIEN CNP RN BSN MSN OCN

Nurse Practitioner

4160 JOHN R ST, SUITE 917
DETROIT, MI 48201

Wayne County (313) 745-4525

ANNA MARIE LEDGERWOOD MD

Surgery

4160 JOHN R ST, STE 615
DETROIT, MI 48201

Wayne County (313) 745-4195

DR. PRAVIT CADNAPAPHORNCHAI MD

Internal Medicine (Nephrology)

4160 JOHN R ST, HARPER PROFESSIONAL BLDG STE 917
DETROIT, MI 48201

Wayne County (313) 745-4525

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 Halo Medical Group PLLC's NPI number?

The NPI number for Halo Medical Group PLLC is 1750604526. It was assigned to this organization in the NPPES registry on March 9, 2010. The provider was formerly known as Heart And Vascular Institute.

Where is Halo Medical Group PLLC located?

Halo Medical Group PLLC is located at 4160 John R St Suite 510, Detroit, MI 48201. The listed phone number is (313) 993-7777.

What is Halo Medical Group PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Halo Medical Group PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Halo Medical Group PLLC was last updated on July 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.