Individual provider Active NPI

Michael Raymond Hall, M.D.

  • Surgery Physician
  • Raleigh, NC
National Provider Identifier
1043530553
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2023-01285 Issued in NC
Practice address
4414 Lake Boone TRL Ste 505
Raleigh, NC 27607-7521
Phone
(919) 784-2300
NPI assigned
Jun 7, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 2023-01285 NC
Surgery Physician 208600000X 2023-01285 NC Primary

Addresses

Primary practice location

4414 Lake Boone TRL Ste 505
Raleigh, NC 27607-7521

Mailing address

5221 Paramount Pkwy Ste 420
Morrisville, NC 27560-5491
Phone (984) 974-1256

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mhall305900@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230829002142 NC Practitioner - Vascular SurgeryPractitioner - General Surgery 3779887062 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Tufts University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Carolina MG LLCGroup PAC ID 1951828847, 723 clinicians
North Carolina Vascular Center PLLCGroup PAC ID 6800272741, 8 clinicians

Practice addresses (Care Compare)

4414 Lake Boone TRL
Suite 505
Raleigh, NC 27607-7521
Phone (919) 784-2300

920 S Lombard St
Suite 200
Clayton, NC 27520-2728
Phone (984) 989-6020

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal44
Leg revascularization (restoring blood flow)33
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina Nephrology PA CurrentSince Jul 15, 2024 Accepting new patients
North Carolina MG, LLC Surgery CurrentSince Jun 1, 2025 Accepting new patients
North Carolina Vascular Center PLLC CurrentSince Dec 1, 2023 Accepting new patients
North Carolina Nephrology PA CurrentSince Jul 15, 2024 Accepting new patients
Rex Hospital Inc Past Accepting new patients

Locations

320 Veterans Pkwy
Ste 200
Clayton, NC 27520
Phone (919) 971-4580

320 Veterans Pkwy
Ste 100
Clayton, NC 27520

920 S Lombard St
#100
Clayton, NC 27520

920 S Lombard St
#200
Clayton, NC 27520
Phone (984) 989-6020

400 Health Park Dr
#120
Garner, NC 27529
Phone (919) 250-2260

781 Avent Ferry Rd
Ste 212
Holly Springs, NC 27540
Phone (984) 974-4010

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

3031 New Bern Ave
Ste 200
Raleigh, NC 27610
Phone (919) 747-7820

4414 Lake Boone Trl
Ste 505
Raleigh, NC 27607
Phone (984) 974-0500

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

11200 Governor Manly Way
Ste 303A
Raleigh, NC 27614
Phone (919) 570-7590

910 Berkshire Rd
Smithfield, NC 27577
Phone (919) 989-7909

2824 Rogers Rd
Ste 104
Wake Forest, NC 27587

Interoperability endpoints

  • Direct secure messaging: mhall305900@direct.unc.nchie.net

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1043530553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 PARAMOUNT PKWY STE 420",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605491",
            "telephone_number": "984-974-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4414 LAKE BOONE TRL STE 505",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077521",
            "telephone_number": "919-784-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "MICHAEL",
        "middle_name": "RAYMOND",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-07",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NC",
            "license": "2023-01285",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2023-01285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mhall305900@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "4414 Lake Boone Trl Ste 505",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276077521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.