JUSTIN HALTERMAN MD
NPI 1952142218
Student in an Organized Health Care Education/Training Program in Providence, RI

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since June 03, 2024PECOS Enrolled

593 EDDY ST, PROVIDENCE, RI 02903(401) 444-4741(401) 444-4445 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Justin Halterman Md NPPES

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

JUSTIN HALTERMAN MD (NPI 1952142218) is an individual student in an organized health care education/training program in Providence, Rhode Island, licensed in Rhode Island (LP06368) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952142218

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJUSTIN HALTERMANCredential: MD

Location Address593 EDDY STProvidence, RI 02903-4923

Mailing Address593 Eddy StProvidence, RI 02903-4923 · (401) 444-4741 · Fax (401) 444-4445

Phone(401) 444-4741

Fax(401) 444-4445

Sole ProprietorNo

Enumeration DateJune 3, 2024

Last NPPES UpdateJune 5, 2024

NPPES CertifiedJune 5, 2024

✔ NPI 1952142218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in RI · LP06368

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

593 EDDY ST, Providence, RI 02903

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Halterman 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.