Individual provider Active NPI

Albert J Halls, M.D.

  • Family Medicine Physician
  • Onley, VA
National Provider Identifier
1063476471
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17503 Issued in NE
Practice address
20306 Badger Lane
Onley, VA 23418-0159
Phone
(757) 787-7374
Fax
(757) 787-4513
NPI assigned
Apr 13, 2006
Last updated
Apr 3, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 17503 NE Primary

Addresses

Primary practice location

20306 Badger Lane
Onley, VA 23418-0159

Mailing address

PO Box 159
20306 Badger Lane
Onley, VA 23418-0159
Phone (757) 787-7374

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20140509001952 VA Practitioner - Family Practice 0547230492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Creighton University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

20306 Badger LN
Onley, VA 23418
Phone (757) 787-7374

25228 Lankford Hwy
Onley, VA 23418
Phone (757) 787-1465

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17503NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Shore Rural Health System Incorporated Current Accepting new patients
Eastern Shore Rural Health System Incorporated CurrentSince Mar 3, 2014 Accepting new patients
Eastern Shore Rural Health System Incorporated CurrentSince Mar 3, 2014 Accepting new patients
Eastern Shore Rural Health System Incorporated Current Accepting new patients
Rheumatology & Osteoporosis Services, P.C. PastSince Sep 12, 2022 Accepting new patients
Lincoln Family Medical Group PC Family Medicine Past Accepting new patients
Waubonsie Mental Health Center Inc PastSince Jul 1, 1990 Accepting new patients

Locations

4049 Main St
Chincoteague Island, VA 23336
Phone (757) 336-3682

5219 Lankford Hwy
New Church, VA 23415
Phone (757) 824-5676

20280 Market St
Onancock, VA 23417
Phone (757) 787-7374

25228 Lankford Hwy
Onley, VA 23418
Phone (757) 414-0500

Interoperability endpoints

  • Direct secure messaging: albert.halls@esrhs.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JIBEAA

Organizations & group practices 7

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

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396483200000",
    "number": "1063476471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "address_2": "20306 BADGER LANE",
            "city": "ONLEY",
            "state": "VA",
            "postal_code": "234180159",
            "telephone_number": "757-787-7374",
            "fax_number": "757-787-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20306 BADGER LANE",
            "city": "ONLEY",
            "state": "VA",
            "postal_code": "234180159",
            "telephone_number": "757-787-7374",
            "fax_number": "757-787-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLS",
        "first_name": "ALBERT",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2014-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "17503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Onley, VA

Sources for this page

Verify at the official NPI Registry.