Adriana Hall, DO
Individual provider Active NPI Internal Medicine Physician · Fort Mohave, AZ
NPI 1154064673 · NPPES record last updated Nov 20, 2025
Key facts
- NPI
- 1154064673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 012050 (AZ)
- Practice address
- 5330 S Highway 95
Fort Mohave, AZ 86426-9225 - Phone
- (928) 788-7077
- NPI assigned
- Apr 14, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Apogee Medical Group Inc
Practice addresses (Care Compare)
5330 S Hwy 95
Fort Mohave, AZ 86426-9225
Phone (928) 788-7077
Hospital & facility affiliations
- Valley View Medical Center
- Havasu Regional Medical Center
- Western Arizona Regional Medical Center
- Sunrise Hospital and Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OH, AZ
- 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 |
|---|---|---|---|---|
| I20240219002225 | OH | Practitioner - Internal Medicine | 9133508518 | Reassigns benefits to 1 organization |
| I20251204003795 | AZ | Practitioner - Internal Medicine | 9133508518 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012050 | AZ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Medical Group Inc | Internal Medicine | Current |
Accepting new patients |
| Apogee Medical Group Inc | Internal Medicine | Current |
Accepting new patients |
| Diagnostic Pathology, LLC | Current | Accepting new patients | |
| Mercer County Joint Township Community Hospital | Current |
Accepting new patients | |
| Mercer County Joint Township Community Hospital | Current |
Accepting new patients | |
| PHC-Fort Mohave Inc | Past | Accepting new patients |
Locations
5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273
101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150
807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222
950 S Main St
Celina, OH 45822
Phone (419) 586-1611
800 W Main St
Coldwater, OH 45828
Phone (419) 678-2341
Interoperability endpoints
- ahall995880@direct.osumc.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 012050 | AZ | Yes |
Addresses
Primary practice location
5330 S Highway 95
Fort Mohave, AZ 86426-9225
Mailing address
405 W Grand Ave
Dayton, OH 45405-7538
Phone (937) 723-3245
Other practice location 1
405 W Grand Ave
Dayton, OH 45405-7538
Phone (937) 723-3245
Other providers in Fort Mohave, AZ
- Jim Gilbert
- Rebecca Lynn Gleason
- Bernard T. Gosma
- Grapevine Clinic LLC
- Guardian Hospice, LLC
- Hanger Prosthetics & Orthotics West Inc
- Maria Elizabeth Harris
- Polly A Hediger
- Hematology Oncology Associates of North Jersey, LLC
- Richard E Hendrix
All providers in Fort Mohave, AZ · Internal Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2025. 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.