Individual provider Active NPI

Mark E Hall, D.P.M. P.A.

  • Podiatrist
  • Lake Worth, FL
National Provider Identifier
1104899764
Registry record updated Jan 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
P02108 Issued in FL
Practice address
7556 Lake Worth Rd
Suite 104
Lake Worth, FL 33467-2503
Phone
(561) 966-5060
Fax
(561) 966-4489
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X P02108 FL Primary

Addresses

Primary practice location

7556 Lake Worth Rd
Suite 104
Lake Worth, FL 33467-2503

Mailing address

7556 Lake Worth Rd
Suite 104
Lake Worth, FL 33467-2503
Phone (561) 966-5060

Other identifiers 4

IdentifierTypeStateIssuer
057613100MedicaidFL
65220OtherFLBC/BS OF FL
65-0960025OtherFLTAX ID #
P02108OtherFLFLORIDA LICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110214000643 FL Practitioner - Podiatry 6507063278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mark E Hall DPM PAGroup PAC ID 5890909535, 2 clinicians

Practice addresses (Care Compare)

7556 Lake Worth Rd
Lake Worth, FL 33467-2503
Phone (561) 966-5060

7593 Boynton Beach Blvd
Suite 170
Boynton Beach, FL 33437-6164
Phone (561) 966-5060

Hospital & facility affiliations

  • All About You Home Health Agency Inc Home health agency, Boca Raton, FL, CCN 109462
  • HCA Florida JFK Hospital Hospital, Atlantis, FL, CCN 100080

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue182
Removal of skin lesions1-10
Removal of nail tissue1863
Removal or shaving of skin growth1408
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P02108FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark E Hall DPM P.a. Podiatrist CurrentSince Feb 21, 2008 Accepting new patients
Mark E Hall D P M P a Podiatrist CurrentSince Feb 14, 2010 Accepting new patients
Richard H Mann DPM PA Past Accepting new patients

Locations

6080 W Boynton Beach Blvd
Boynton Beach, FL 33437
Phone (561) 736-3227

7556 Lake Worth Rd
Ste 104
Lake Worth, FL 33467
Phone (561) 966-5060

Organizations & group practices 3

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294963200000",
    "number": "1104899764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7556 LAKE WORTH RD",
            "address_2": "SUITE 104",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672503",
            "telephone_number": "561-966-5060",
            "fax_number": "561-966-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7556 LAKE WORTH RD",
            "address_2": "SUITE 104",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672503",
            "telephone_number": "561-966-5060",
            "fax_number": "561-966-4489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "MARK",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.P.M. P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2011-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "P02108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057613100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF FL",
            "identifier": "65220",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "65-0960025",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE #",
            "identifier": "P02108",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.