NICHOLAS HALLAK (MD) – Obstetrics & Gynecology Physician, NPI 1225239916

NICHOLAS HALLAK (MD) is a healthcare provider. based in Aberdeen, Washington. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. MD60014240 (WA). The NPI Number for NICHOLAS HALLAK (MD) is 1225239916

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS HALLAK (MD)
NPI
1225239916
Phone
(360) 538-0135
Address
PO BOX 1139
Enumeration Date
30 May 2007
Last Update Date
11 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3605376430
Graduation Year
2003 (23 years ago)
PAC ID
8325113608
Group Practice PAC ID
3577462365
Professional Enrollment ID
I20080821000104
Address ID
WA985503705HO815XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,037 OBSTETRICS/GYNECOLOGY in WA

Loading map...

Provider Addresses for NICHOLAS HALLAK (MD)

  • PO BOX 1139

    ABERDEEN, WA 985200228

    Phone: (360) 538-0135

    Fax: (360) 533-3475

    Type: Mailing

  • Sumner Avenue, Pilgrim Heights, Aberdeen, Grays Harbor County, Washington, United States

    ABERDEEN, WA 985203606

    Phone: (360) 538-0135

    Fax: (360) 533-3475

    Type: Location

  • 815 K ST

    HOQUIAM, WA 985503705

    Phone: (360) 537-6430

    Fax: (360) 532-9512

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Baxter Healthcare ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Baxter Healthcare$14
View all Open Payments →|Open Payments Risk Radar →

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: 2008-08-21

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
I20080821000104IObstetrics/GynecologyWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98520)

Loading plans...

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: 3577462365View full group profile
NameSpecialtyState
Diagnostic RadiologyCA
Physician AssistantWA
Physician AssistantWA
Physical Therapist In Private PracticeWA
Diagnostic RadiologyWA
-WA
Family PracticeWA
-WA
-WA
Diagnostic RadiologyCA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for NICHOLAS HALLAK (MD)?
The registry entry for NICHOLAS HALLAK (MD) shows NPI 1225239916.
Is NICHOLAS HALLAK (MD)'s NPI status active today?
Active status means NICHOLAS HALLAK (MD)'s NPI record is not deactivated in the public file.
What type of care does NICHOLAS HALLAK (MD) provide?
NICHOLAS HALLAK (MD)'s profile centers on Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Is NICHOLAS HALLAK (MD) tied to Aberdeen, Washington?
If you are local to Aberdeen, Washington, NICHOLAS HALLAK (MD) may be relevant to your search.
Can I export NICHOLAS HALLAK (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

Similar Providers

DR. RANDALL D. HOWERTON (MD)

Addiction Medicine (Family Medicine) Physician
West 27th Place, Kennewick, Benton County, Washington, 99337, United States
NPI: 1891787933

JOHN M REES (M.D.)

Obstetrics & Gynecology Physician
1020 ANDERSON DR STE 202
NPI: 1285652362

WILLIAM E. KILGORE II (M.D.)

Obstetrics & Gynecology Physician
1020 ANDERSON DR STE 202
NPI: 1295753374

TANJA LU TODD-KELLUM (MD)

Obstetrics & Gynecology Physician
915 ANDERSON DR
NPI: 1295814861

GRAYS HARBOR WOMENS CLINIC PLLC

Obstetrics & Gynecology Physician
1020, Anderson Drive, Aberdeen, Grays Harbor County, Washington, 98520, United States
NPI: 1699814012

CAREY R MARTENS (DO)

Obstetrics & Gynecology Physician
PO BOX 162
NPI: 1598880833

Unknown Individual

Obstetrics & Gynecology Physician
PO BOX 162
NPI: 1982883393

Harbor Medical Group

Surgery Physician
PO BOX 1787
NPI: 1326217670

NICHOLAS HALLAK, MD, PLLC

Obstetrics & Gynecology Physician
Sumner Avenue, Pilgrim Heights, Aberdeen, Grays Harbor County, Washington, United States
NPI: 1407010093