Gillbert Daryl Hallman, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

35064475 Issued in OH

Practice address

620 Crossover Rd
Tupelo, MS 38801-4944

Phone

(662) 620-7102

Fax

(662) 620-7106

NPI assigned

Aug 2, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KY, OH, IN3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Diagnostic Radiology

Education

University of Louisville School of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Dysphagia Consultants LLCGroup PAC ID 8820360795, 17 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Midwest Dysphagia Consultants, LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Cincinnati, OH
  • NPI 1639404171

  IN, KY

  Medicare reassignment Care Compare group NPD
• Atrium Medical Center

  • General Acute Care Hospital
  • Franklin, OH
  • NPI 1700950060
  NPD (past)
• Jackson Hospital Corporation

  • Emergency Medicine Physician
  • Jackson, KY
  • NPI 1679774996

  Diagnostic Radiology

  NPD (past)
• Medical Imaging Physicians Inc

  • Diagnostic Radiology Physician
  • Dayton, OH
  • NPI 1508847922
  NPD (past)
• Millennium Radiology Inc

  • Diagnostic Radiology Physician
  • Cincinnati, OH
  • NPI 1912908849
  NPD (past)
• Radiology Associates of Northern Kentucky, PLLC

  • Diagnostic Radiology Physician
  • Edgewood, KY
  • NPI 1073595179
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1013918952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 980",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388020980",
            "telephone_number": "662-620-7102",
            "fax_number": "662-620-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 CROSSOVER RD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014944",
            "telephone_number": "662-620-7102",
            "fax_number": "662-620-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLMAN",
        "first_name": "GILLBERT",
        "middle_name": "DARYL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35064475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0902929",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64932718",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100331680A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katelyn Hall
• Kyndall L Hall, PA
• Sabrina Hurd Hall, PMHNP
• Samuel Robert Hall, D.M.D
• Stephanie Hall
• Brent Lee Hallmark, MSN, APRN, FNP-C
• Codi Hallmark
• Miriam Hallmark
• Shelley Marie Hamblin, MSN, FNP-C
• Uzair Hamid

• Diagnostic Radiology Physician in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Diagnostic Radiology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.