Individual provider Active NPI

Pamela A Hall, M.D.

  • Emergency Medicine Physician
  • Houston, TX
National Provider Identifier
1144218348
Registry record updated Nov 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
H2431 Issued in TX
Practice address
211 Highland Cross Dr
Suite 275
Houston, TX 77073-1733
Phone
(281) 784-1500
Fax
(281) 209-8930
NPI assigned
Oct 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X H2431 TX Primary

Addresses

Primary practice location

211 Highland Cross Dr
Suite 275
Houston, TX 77073-1733

Mailing address

211 Highland Cross Dr
Suite 275
Houston, TX 77073-1733
Phone (281) 784-1500

Other identifiers 5

IdentifierTypeStateIssuer
138154312MedicaidTX
138154319MedicaidTX
8DC275OtherTXBCBS
8EX803OtherTXBLUE CROSS BLUE SHIELD
8P5505OtherTXBCBS PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20041014000985 TX Practitioner - Emergency Medicine 3476513367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Texas a & M University System, HSC, College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PVD Urgent Care LLCGroup PAC ID 5991062200, 6 clinicians

Practice addresses (Care Compare)

18007 Ih 10
San Antonio, TX 78257-9536
Phone (210) 530-1257

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
PVD Urgent Care LLC CurrentSince Mar 18, 2023 Accepting new patients
PVD Urgent Care LLC CurrentSince Mar 18, 2023 Accepting new patients
Ghep Corpus Christi PLLC Emergency Medicine Past Accepting new patients

Locations

23511 Hardy Oak Blvd
San Antonio, TX 78258
Phone (210) 361-3266

18007 Ih 10 W
San Antonio, TX 78257
Phone (210) 530-1040

18007 W Interstate 10
Ste 101
San Antonio, TX 78257

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448409600000",
    "number": "1144218348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 HIGHLAND CROSS DR",
            "address_2": "SUITE 275",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770731733",
            "telephone_number": "281-784-1500",
            "fax_number": "281-784-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 HIGHLAND CROSS DR",
            "address_2": "SUITE 275",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770731733",
            "telephone_number": "281-784-1500",
            "fax_number": "281-209-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "PAMELA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2015-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "H2431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138154312",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138154319",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8DC275",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8EX803",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "8P5505",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.