NPIMap

Individual provider Active NPI

Alex Hall, M.D.

  • Diagnostic Radiology Physician
  • Springfield, IL
National Provider Identifier
1063863744
Registry record updated Jun 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
125.068906 Issued in IL
Practice address
701 N 1St Box 101
Springfield, IL 62781-0001
Phone
(217) 757-2387
Fax
(217) 788-5582
NPI assigned
Jun 24, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 125.068906 IL Primary

Addresses

Primary practice location

701 N 1St Box 101
Springfield, IL 62781-0001

Mailing address

701 N 1St Box 101
Springfield, IL 62781-0001
Phone (217) 757-2387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NC, WI, FL4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20210628002036 TN Practitioner - Diagnostic Radiology 6608154943 Reassigns benefits to 6 organizations
I20211027001012 NC Practitioner - Diagnostic Radiology 6608154943 Reassigns benefits to 1 organization
I20241213002739 WI Practitioner - Diagnostic Radiology 6608154943
I20250318003820 FL Practitioner - Diagnostic Radiology 6608154943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

101 Iroquois CT
Nashville, TN 37205-3809
Phone (904) 399-5550

13695 US Hwy 1
Sebastian, FL 32958-3230
Phone (904) 399-5550

406 11TH Ave N
Apt 713
Nashville, TN 37203-4554
Phone (904) 339-5550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.35 of 100Reported as group
Quality
72.18
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.41 of 100Reported as group
Quality
91.07
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Middle Tennessee Imaging, LLC CurrentSince Jan 1, 2019 Accepting new patients
Middle Tennessee Imaging LLC CurrentSince Jan 1, 2019 Accepting new patients
Middle Tennessee Imaging, LLC CurrentSince Jan 1, 2019 Accepting new patients
Board of Trustees of Southern Illinois University Current Accepting new patients
Wisconsin Radiology Specialists, S C CurrentSince Jun 1, 2022 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Sep 30, 2025 Accepting new patients
Tampa Bay Radiology Associates PA Diagnostic Radiology PastSince May 17, 2020 Accepting new patients

Locations

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

1210 Briarville Rd
Bldg F602
Madison, TN 37115
Phone (615) 773-7237

5002 Crossings Cir
Ste 140
Mt Juliet, TN 37122
Phone (615) 773-7237

1840 Medical Center Pkwy
Murfreesboro, TN 37129
Phone (615) 848-0488

28 White Bridge Pike
Ste 111
Nashville, TN 37205
Phone (615) 986-6153

10180 Washington Ave
Mount Pleasant, WI 53177
Phone (414) 769-4040

Interoperability endpoints

  • Direct secure messaging: alexhall@siusm.allscriptsdirect.net

Organizations & group practices 11

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 5

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": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1063863744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N 1ST BOX 101",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627810001",
            "telephone_number": "217-757-2387",
            "fax_number": "217-788-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N 1ST BOX 101",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627810001",
            "telephone_number": "217-757-2387",
            "fax_number": "217-788-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-24",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "125.068906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.