Individual provider Active NPI

Michael J. Hall, M.D.

  • Diagnostic Radiology Physician
  • Amarillo, TX
National Provider Identifier
1164621637
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301090484 Issued in MI
Practice address
1901 Medi Park Dr
Suite 2050
Amarillo, TX 79106-2110
Phone
(806) 355-3352
NPI assigned
Jul 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

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 4301090484 MI Primary

Addresses

Primary practice location

1901 Medi Park Dr
Suite 2050
Amarillo, TX 79106-2110

Mailing address

1901 Medi Park Dr
Suite 2050
Amarillo, TX 79106-2110
Phone (806) 355-3352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM, UT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20130719000636 TX Practitioner - Diagnostic Radiology 6800045626 Reassigns benefits to 2 organizations
I20141103001775 NM Practitioner - Diagnostic Radiology 6800045626 Reassigns benefits to 1 organization
I20251008003862 UT Practitioner - Diagnostic Radiology 6800045626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Wayne State University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
High Plains Radiological Association LLPGroup PAC ID 9739172479, 36 clinicians
Open Air Imaging Center LLPGroup PAC ID 9739258310, 25 clinicians

Practice addresses (Care Compare)

1021 Holden St
Glen Rose, TX 76043-4937
Phone (254) 897-2215

117 E 19TH St
Roswell, NM 88201-5151
Phone (575) 627-7000

1215 S Coulter St
Suite 100
Amarillo, TX 79106-1761
Phone (806) 359-4701

1411 Denver Ave
Dalhart, TX 79022-4809
Phone (806) 244-4571

1600 Wallace Blvd
Amarillo, TX 79106-1799
Phone (806) 212-2000

1900 Medi Park Dr
Amarillo, TX 79106-2187
Phone (806) 355-9447

209 NW 8TH St
Seminole, TX 79360-3447
Phone (432) 758-5811

224 E 2ND St
Dumas, TX 79029-3808
Phone (806) 935-7171

4202 N 125 W Pleasant View
Ogden, UT 84414-1102
Phone (575) 627-7000

720 Hospital Dr
Andrews, TX 79714-3617
Phone (432) 523-2200

7400 Wallace Blvd
Amarillo, TX 79106-1818
Phone (806) 353-8333

901 US Hwy 83 N
Childress, TX 79201-2320
Phone (940) 937-6371

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Open Air Imaging Center, LLP CurrentSince Jun 1, 2013 Accepting new patients
High Plains Radiological Association LLP Diagnostic Radiology CurrentSince Jun 1, 2013 Accepting new patients

Locations

117 Camino de Vida
Santa Rosa, NM 88435
Phone (575) 472-3417

1901 Medi Park Dr
Ste 2050
Amarillo, TX 79106
Phone (806) 355-3352

1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000

7400 Wallace Blvd
Amarillo, TX 79106
Phone (806) 351-8480

Interoperability endpoints

  • Direct secure messaging: mhall21081@ahs.direct-ci.com

Organizations & group practices 2

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": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1164621637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 MEDI PARK DR",
            "address_2": "SUITE 2050",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062110",
            "telephone_number": "806-355-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MEDI PARK DR",
            "address_2": "SUITE 2050",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062110",
            "telephone_number": "806-355-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-16",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301090484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.