Albert J Halls, M.D.
Individual provider Active NPI Family Medicine Physician · Onley, VA
NPI 1063476471 · NPPES record last updated Apr 3, 2014
Key facts
- NPI
- 1063476471
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 17503 (NE)
- Practice address
- 20306 Badger Lane
Onley, VA 23418-0159 - Phone
- (757) 787-7374
- Fax
- (757) 787-4513
- NPI assigned
- Apr 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Creighton University School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Eastern Shore Rural Health System Incorporated
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
- Riverside Shore Home Health
- Kind Hearts
- Riverside Shore Hospice
- Riverside Shore Memorial Hospital
- Sentara Norfolk General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140509001952 | VA | Practitioner - Family Practice | 0547230492 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17503 | NE | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Shore Rural Health System Incorporated | Current |
Accepting new patients | |
| Eastern Shore Rural Health System Incorporated | Current | Accepting new patients | |
| Eastern Shore Rural Health System Incorporated | Current |
Accepting new patients | |
| Eastern Shore Rural Health System Incorporated | Current | Accepting new patients | |
| Rheumatology & Osteoporosis Services, P.C. | Past |
Accepting new patients | |
| Lincoln Family Medical Group PC | Family Medicine | Past | Accepting new patients |
| Waubonsie Mental Health Center Inc | Past |
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
- https://fhir4.healow.com/fhir/r4/JIBEAA
- albert.halls@esrhs.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 17503 | NE | Yes |
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
Other providers in Onley, VA
- Eastern Shore Rural Health System Incorporated
- Heather Colleen Frisby
- Lucas Allen Fussell
- Anna Grace Godwin
- Deborah Carroll Gootee
- Sandra Hearn
- Thomas Hollandsworth
- Victoria Renee Willis Houtrouw
- Elizabeth H Hubbard
- Human Experience LLC
All providers in Onley, VA · Family Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.