Physician Compare National (NPI:1083614416)

HEALTHCARE PROVIDER: ELI R HALLAL M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1083614416
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3072685593
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110308000796
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HALLAL
	Individual professional last name
Provider First Name	ELI
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	INDIANA UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1973
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2 SILVERCREST DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 100
	Group Practice or individual's line 2 address
City	NEW ALBANY
	Group Practice or individual's city
State	IN
	Group Practice or individual's state
Zip Code	471507800
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8129481641
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	150044
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BAPTIST HEALTH FLOYD
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	150009
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CLARK MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	M