HALO PRIMARY CARE PLLC
NPI 1750787784
Clinic/Center - Primary Care in Detroit, MI

Active since November 19, 2014
1535 E STATE FAIR, DETROIT, MI 48203(313) 891-2740(313) 731-0213 Get Directions Write a Review

NPPES record last updated: November 19, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Halo Primary Care Pllc NPPES

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

HALO PRIMARY CARE PLLC (NPI 1750787784) is a healthcare organization registered as a primary care in Detroit, Michigan and active in the NPI registry since November 2014. The organization lists Mahir Elder, President, as its authorized official.

NPPES Registry Identity

NPI1750787784
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameHALO PRIMARY CARE PLLC
Location Address1535 E STATE FAIRDetroit, MI 48203-1257
Mailing Address4160 John R St, Suite 510Detroit, MI 48201-2020 · (313) 993-7777 · Fax (313) 993-2563
Fax(313) 731-0213
Organization SubpartYesParent: Heart & Vascular Institute Pllc
Authorized OfficialMahir ElderPresident · (313) 993-7777
Enumeration DateNovember 19, 2014
✔ NPI 1750787784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1535 E STATE FAIR, Detroit, MI 48203

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Halo Primary Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Halo Primary Care PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1265747463
3611 CARPENTER ST STE 5
Detroit, MI 48212
(313) 733-8286
✔ PECOS2.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Primary Care PLLC's NPI number?

The NPI number for Halo Primary Care PLLC is 1750787784. It was assigned to this organization in the NPPES registry on November 19, 2014.

Where is Halo Primary Care PLLC located?

Halo Primary Care PLLC is located at 1535 E State Fair, Detroit, MI 48203. The listed phone number is (313) 891-2740.

What is Halo Primary Care PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Halo Primary Care PLLC enrolled in Medicare?

Yes. Halo Primary Care PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Halo Primary Care PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Halo Primary Care PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Halo Primary Care PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Halo Primary Care PLLC 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.

When was this NPI record last updated?

The NPPES record for Halo Primary Care PLLC was last updated on November 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.