Individual provider Active NPI

Robert J Hallock, M.D.

  • Emergency Medicine Physician
  • Milwaukee, WI
National Provider Identifier
1043265804
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
D75037 Issued in MD
Practice address
111 E Wisconsin Ave
Suite 2000
Milwaukee, WI 53202-4815
Phone
(414) 290-6720
Fax
(414) 290-6755
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 26624 WV
Emergency Medicine Physician 207P00000X 44713-020 WI
Emergency Medicine Physician 207P00000X 035105392 IL
Emergency Medicine Physician 207P00000X D75037 MD Primary

Addresses

Primary practice location

111 E Wisconsin Ave
Suite 2000
Milwaukee, WI 53202-4815

Mailing address

111 E Wisconsin Ave
Suite 2000
Milwaukee, WI 53202-4815
Phone (414) 290-6720

Other practice location 1

2661 County Highway I
Chippewa Falls, WI 54729-5407
Phone (715) 723-1811

Other practice location 2

900 W Clairemont Ave
Eau Claire, WI 54701-6122
Phone (715) 717-4121

Other practice location 3

23789 Garrett Hwy
Mc Henry, MD 21541-1338
Phone (240) 488-4139

Other practice location 4

45 Hunt Club Dr
Ridgeley, WV 26753-7567
Phone (304) 726-4501

Other practice location 5

1050 W Industrial Blvd Ste 17
Cumberland, MD 21502-4331
Phone (240) 964-9300

Other practice location 6

10701 New Georges Creek Rd SW
Frostburg, MD 21532-1457
Phone (301) 689-3229

Other identifiers 5

IdentifierTypeStateIssuer
930118424OtherILMEDICARE RAILROAD
P00012889OtherWIMEDICARE RAILROAD
036105392MedicaidIL
34602500MedicaidWI
P00043244OtherILMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MD, WV, TX4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20070516000154 WI Practitioner - Emergency Medicine 3173521580 Reassigns benefits to 5 organizations
I20130306000553 MD Practitioner - Emergency Medicine 3173521580 Reassigns benefits to 3 organizations
I20200720001121 WV Practitioner - Emergency Medicine 3173521580
I20241025003223 TX Practitioner - Emergency Medicine 3173521580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Connecticut School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of TX, PLLCGroup PAC ID 3375909351, 374 clinicians
Emergency Medicine Specialists SCGroup PAC ID 8729975461, 220 clinicians

Practice addresses (Care Compare)

12285 Bandera Rd
Helotes, TX 78023-4772
Phone (210) 575-2285

500 S Oakwood Rd
Oshkosh, WI 54904-7944
Phone (920) 223-2000

5000 W Chambers St
Milwaukee, WI 53210-1650
Phone (414) 447-2000

Hospital & facility affiliations

  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388
  • Ascension NE Wisconsin - St Elizabeth Campus Hospital, Appleton, WI, CCN 520009
  • Methodist Hospital Stone Oak Hospital, San Antonio, TX, CCN 670055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
035105392ILMDEmergency Medicine Physician
D75037MDMDEmergency Medicine Physician
44713-020WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Jul 19, 2024 Accepting new patients
Reedsburg Area Medical Center, Inc. CurrentSince May 1, 2024 Accepting new patients
Mep Observation Services LLC Emergency Medicine CurrentSince May 16, 2018 Accepting new patients
Mep Observation Services LLC CurrentSince May 16, 2018 Accepting new patients
Madison Emergency Physicians, SC Emergency Medicine CurrentSince May 1, 2024 Accepting new patients
Vituity-Wisconsin Em SC Emergency Medicine CurrentSince Feb 8, 2024 Accepting new patients
Vituity-Wisconsin Em SC Emergency Medicine Current Accepting new patients
Froedtert Manitowoc Medical Group, LLC CurrentSince Jul 1, 2024 Accepting new patients
Upmc Western Maryland Corporation Current Accepting new patients
Upmc Western Maryland Corporation CurrentSince May 18, 2020 Accepting new patients
Reedsburg Area Medical Center, Inc. Current Accepting new patients
Emergency Medicine Specialists, S.C. Emergency Medicine CurrentSince Nov 1, 2024 Accepting new patients
Vituity-Wisconsin Em SC Emergency Medicine CurrentSince Feb 8, 2024 Accepting new patients
Reedsburg Area Medical Center Inc CurrentSince May 1, 2024 Accepting new patients
Tele-Physicians, P.C. PastSince Aug 4, 2022 Accepting new patients
United Occupational Medicine and Walk in Services, LLC Emergency Medicine Past Accepting new patients
Orthoconnecticut, PLLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Access Telecare, PLLC Past Accepting new patients
Ihc-Libertyville Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Upmc Western Maryland Health Services, LLC Past Accepting new patients
Ack Medical Transportation Past Accepting new patients
Upmc Western Maryland Corporation Past Accepting new patients
Ihc-Swedishamerican Emergency Physicians, LLC Emergency Medicine PastSince Dec 15, 2019 Accepting new patients
Ihc-St. Francis Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Ihc-Mercy Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Forefront Telecare Inc PastSince Feb 2, 2024 Accepting new patients

Locations (25 of 53)

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1050 W Industrial Blvd
Ste 17
Cumberland, MD 21502
Phone (240) 964-9300

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

10701 New Georges Creek Rd SW
Frostburg, MD 21532
Phone (301) 689-2941

23789 Garrett Hwy
Mc Henry, MD 21541
Phone (240) 488-4139

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1020 S State Highway 16
Fredericksburg, TX 78624
Phone (830) 990-1555

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

12285 Bandera Rd
Helotes, TX 78023
Phone (210) 575-2285

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

9211 Potranco Rd
San Antonio, TX 78251
Phone (210) 575-9211

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

3154 SE Military Dr
Ste 103
San Antonio, TX 78223
Phone (210) 337-0911

12805 W Interstate 10
San Antonio, TX 78249
Phone (210) 575-9805

13434 Nacogdoches Rd
San Antonio, TX 78217
Phone (210) 447-7560

6402 Mallard Mdw
San Antonio, TX 78244
Phone (210) 757-5000

20475 State Highway 46 W
Ste 100
Spring Branch, TX 78070
Phone (830) 252-5200

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

3329 N Richmond St
Appleton, WI 54911
Phone (920) 380-2715

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

19333 W North Ave
Brookfield, WI 53045
Phone (262) 785-2000

614 Memorial Dr
Chilton, WI 53014
Phone (800) 458-4042

Interoperability endpoints

  • Direct secure messaging: rhallock826154@direct.froedtert.com

Organizations & group practices 28

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.

View all 28

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588896000000",
    "number": "1043265804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E WISCONSIN AVE",
            "address_2": "SUITE 2000",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532024815",
            "telephone_number": "414-290-6720",
            "fax_number": "414-290-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E WISCONSIN AVE",
            "address_2": "SUITE 2000",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532024815",
            "telephone_number": "414-290-6720",
            "fax_number": "414-290-6755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2661 County Highway I",
            "address_purpose": "LOCATION",
            "city": "Chippewa Falls",
            "state": "WI",
            "postal_code": "547295407",
            "country_code": "US",
            "telephone_number": "715-723-1811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 W Clairemont Ave",
            "address_purpose": "LOCATION",
            "city": "Eau Claire",
            "state": "WI",
            "postal_code": "547016122",
            "country_code": "US",
            "telephone_number": "715-717-4121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23789 Garrett Hwy",
            "address_purpose": "LOCATION",
            "city": "Mc Henry",
            "state": "MD",
            "postal_code": "215411338",
            "country_code": "US",
            "telephone_number": "240-488-4139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45 Hunt Club Dr",
            "address_purpose": "LOCATION",
            "city": "Ridgeley",
            "state": "WV",
            "postal_code": "267537567",
            "country_code": "US",
            "telephone_number": "304-726-4501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 W Industrial Blvd Ste 17",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215024331",
            "country_code": "US",
            "telephone_number": "240-964-9300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10701 New Georges Creek Rd SW",
            "address_purpose": "LOCATION",
            "city": "Frostburg",
            "state": "MD",
            "postal_code": "215321457",
            "country_code": "US",
            "telephone_number": "301-689-3229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALLOCK",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "26624",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "44713-020",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "035105392",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D75037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "930118424",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00012889",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036105392",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34602500",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00043244",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.