DR. CHARLES II HALLER (M.D.) – Cardiovascular Disease Physician, NPI 1154732501

DR. CHARLES II HALLER (M.D.) is a healthcare provider. based in Jbsa fort sam houston, Texas. specializing in INTERNAL MEDICINE, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D.. They hold a License No. S5641 (TX). The NPI Number for DR. CHARLES II HALLER (M.D.) is 1154732501

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES II HALLER (M.D.)
NPI
1154732501
Phone
(210) 916-0935
Address
3551 ROGER BROOKE DRIVE
Enumeration Date
19 May 2014
Last Update Date
24 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2106145400
Graduation Year
2014 (12 years ago)
PAC ID
9133441496
Group Practice PAC ID
1153517420
Professional Enrollment ID
I20210212000609
Address ID
TX782293824SA4411XDRXX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

13,297 INTERNAL MEDICINE in TX

Provider Addresses for DR. CHARLES II HALLER (M.D.)

  • 3551 ROGER BROOKE DRIVE

    JBSA FORT SAM HOUSTON, TX 782344504

    Phone: (210) 916-0935

    Fax: (210) 916-3051

    Type: Mailing

  • 1100 WILFORD HALL LOOP

    LACKLAND AFB, TX 782365638

    Phone: (210) 292-7026

    Fax: (210) 292-7737

    Type: Mailing

  • 1100 WILFORD HALL LOOP BLDG 4554

    JBSA LACKLAND, TX 782365638

    Phone: (210) 292-6835

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-02-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210212000609ICardiovascular Disease (Cardiology)TXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes14480$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes8178$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function1818$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 78234)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153517420View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineTX
Interventional Cardiology, Peripheral Vascular DiseaseTX
Cardiovascular Disease (Cardiology), Peripheral Vascular DiseaseTX
-TX
Physician AssistantTX
-TX
Cardiac ElectrophysiologyTX
Cardiovascular Disease (Cardiology)TX
Nurse PractitionerTX
Cardiovascular Disease (Cardiology)TX

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Frequently asked questions

Can I verify DR. CHARLES II HALLER (M.D.) with an NPI only?
You can start verification with NPI 1154732501 for DR. CHARLES II HALLER (M.D.), then check state licensing separately.
Does CMS list DR. CHARLES II HALLER (M.D.) as active?
Yes — DR. CHARLES II HALLER (M.D.) is active in the NPI listing used on this page.
What is DR. CHARLES II HALLER (M.D.)'s primary classification?
Cardiovascular Disease Physician is the headline specialty for DR. CHARLES II HALLER (M.D.) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. CHARLES II HALLER (M.D.) on a map?
Expect Jbsa Fort Sam Houston, Texas as a primary anchor for DR. CHARLES II HALLER (M.D.) unless the record lists multiple sites.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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