HALO MEDICAL GROUP
HALO MEDICAL GROUP is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1467506451, based in Indian Wells, CA. The organization lists 8 taxonomy classifications, with Diagnostic Radiology Physician recorded as primary.
Getting there
The practice address on file is 74785 US HIGHWAY 111 SUITE 101, Indian Wells, CA 92210. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| FNP25453 | CA | Diagnostic Radiology Physician primary |
This provider holds licence FNP25453 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 7012806052
Enrolled in Medicare 17 times, across 17 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| California | O20040315001110 | Part B Supplier - Clinic/group Practice |
| Georgia | O20221121000003 | Part B Supplier - Clinic/group Practice |
| South Carolina | O20221122000234 | Part B Supplier - Clinic/group Practice |
| Arizona | O20230420001569 | Part B Supplier - Clinic/group Practice |
| Florida | O20230428000370 | Part B Supplier - Clinic/group Practice |
| New York | O20230502001481 | Part B Supplier - Clinic/group Practice |
| Nevada | O20230503000282 | Part B Supplier - Clinic/group Practice |
| New Jersey | O20230629000110 | Part B Supplier - Clinic/group Practice |
| Texas | O20230801002841 | Part B Supplier - Clinic/group Practice |
| Ohio | O20231003000982 | Part B Supplier - Clinic/group Practice |
| New Mexico | O20241211002685 | Part B Supplier - Clinic/group Practice |
| North Carolina | O20241218001865 | Part B Supplier - Clinic/group Practice |
| Illinois | O20241224000775 | Part B Supplier - Clinic/group Practice |
| Washington | O20250106000233 | Part B Supplier - Clinic/group Practice |
| Tennessee | O20250108000783 | Part B Supplier - Clinic/group Practice |
| Massachusetts | O20250114003518 | Part B Supplier - Clinic/group Practice |
| Puerto Rico | O20250307003441 | Part B Supplier - Clinic/group Practice |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 17 separate enrolment records across 17 states (CA, GA, SC, AZ, FL, NY, NV, NJ, TX, OH, NM, NC, IL, WA, TN, MA, PR). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Diagnostic Radiology covers
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. NUCC Health Care Provider Taxonomy, code 2085R0202X
All registered taxonomy codes
This provider registers 8 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2085R0202X | Diagnostic Radiology Physician Diagnostic Radiology | FNP25453 | CA | primary |
| 207Q00000X | Family Medicine Physician | — | — | |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | |
| 213E00000X | Podiatrist | — | — | |
| 2085N0700X | Neuroradiology Physician Neuroradiology | — | — | |
| 2085R0204X | Vascular & Interventional Radiology Physician Vascular & Interventional Radiology | — | — | |
| 2085U0001X | Diagnostic Ultrasound Physician Diagnostic Ultrasound | — | — | |
| 208800000X | Urology Physician | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1467506451 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jan 23, 2007 |
| Last updated | Apr 22, 2022 |
| Status | Active |
| Practice address |
74785 US HIGHWAY 111 SUITE 101 Indian Wells, CA 92210 (760) 776-8989 Fax (760) 501-0311 |
| Mailing address |
PO BOX 841163 Los Angeles, CA 90084 |
| Other identifiers |
ZZZ02402Z
· Other (CA) ZZZ02402Z · Other (CA) ZZZ64094Z · Other (CA) ZZZ64094Z · Other (CA) GR0083072 · Medicaid (CA) GR0083073 · Medicaid (CA) CK9031 · Other (CA) ZZZ57290Z · Other (CA) ZZZ05859Z · Other (CA) ZZZ57290Z · Other (CA) GR0083070 · Medicaid (CA) GR0083071 · Medicaid (CA) ZZZ05859Z · Other (CA) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 4 | 6 | 7 | 5 | 0 | 6 | 4 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 4 | 3 | 7 | 1 | 0 | 3 | 4 | 1 |
Sum = 49 · next multiple of 10 = 50 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.