Active NPI
Kent Michael Hall, M.D.
- Diagnostic Radiology Physician
- Roanoke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 0101250174
- Practice address
- 1906 Belleview Ave SE
Roanoke, VA 24014-1838 - Phone
- (540) 981-7083
- Fax
- (540) 981-8260
- NPI assigned
- Jun 25, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME161169 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | A156017 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | 0101250174 | VA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 2023-00962 | NC |
Addresses
Primary practice location
1906 Belleview Ave SE
Roanoke, VA 24014-1838
Mailing address
213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5352
Other practice location 1
554 Keily Street
Jacksonville, FL 32212
Phone (757) 953-7550
Other practice location 2
600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 388-8870
Other practice location 3
300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000
Other practice location 4
Medical Center Blvd
Winston Salem, NC 27157-2200
Phone (336) 716-2255
Other practice location 5
14551 Hope Center Loop Ste 100
Fort Myers, FL 33912-4705
Phone (239) 936-2316
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, VA, IN, FL, NC, IL, SC, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 8
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Cincinnati College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1814 Westchester Dr
Suite 100
High Point, NC 27262-7369
Phone (336) 802-2175
265 Executive Park Blvd
Winston Salem, NC 27103-1503
Phone (336) 765-5722
347 Pilot Ridge Dr
Lewisville, NC 27023-8119
Phone (540) 224-5516
3655 Mitchell St
Loris, SC 29569-2827
Phone (843) 716-7111
500 J Clyde Morris Blvd
Newport News, VA 23601-1929
Phone (757) 594-3580
555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-2000
Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A156017 | CA | MD | Diagnostic Radiology Physician |
| ME161169 | FL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Carilion Tazewell Community Hospital | Current | Accepting new patients | |
| McLeod Health Clarendon | Current | Accepting new patients | |
| Carilion Giles Community Hospital | Current | Accepting new patients | |
| Riverside Physician Services, Inc. | Current | Accepting new patients | |
| McLeod Medical Center-Dillon | Current | Accepting new patients | |
| McLeod Loris Seacoast Hospital | Current | Accepting new patients | |
| McLeod Loris Seacoast Hospital | Current | Accepting new patients | |
| Carilion Rockbridge Community Hospital | Current | Accepting new patients | |
| Hospital & Medical Foundation of Paris, Inc. | Current | Accepting new patients | |
| Lutheran Medical Group LLC | Current | Accepting new patients | |
| Carilion Medical Center | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| McLeod Regional Medical Center of the Pee Dee, Inc | Current | Accepting new patients | |
| Health Diagnostics of California a Professional Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Lutheran Medical Group LLC | Current | Accepting new patients | |
| Carilion Medical Center | Current | Accepting new patients | |
| Yakima Valley Memorial Physicians | Current | Accepting new patients | |
| Yakima Valley Memorial Physicians | Current | Accepting new patients | |
| McLeod Health Clarendon | Current | Accepting new patients | |
| McLeod Regional Medical Center of the Pee Dee, Inc | Current | Accepting new patients | |
| Wake Forest Baptist Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Riverside Physician Services Inc | Current | Accepting new patients | |
| McLeod Medical Center-Dillon | Current | Accepting new patients | |
| Howard Simon MD PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Riverside Physician Services Inc | Current | Accepting new patients | |
| Wake Forest Baptist Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Wake Forest University Health Sciences | Current | Accepting new patients | |
| Wake Forest Health Network LLC | Current | Accepting new patients | |
| Sentara Medical Group | Current | Accepting new patients | |
| Carilion Giles Community Hospital | Current | Accepting new patients | |
| Wake Forest Health Network, LLC | Current | Accepting new patients | |
| Health Diagnostics of California a Professional Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Yakima Valley Memorial Physicians | Current | Accepting new patients | |
| Hospital & Medical Foundation of Paris, Inc. | Current | Accepting new patients | |
| Wake Forest Baptist Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Wake Forest Health Network LLC | Diagnostic Radiology | Current | Accepting new patients |
| Hospital & Medical Foundation of Paris, Inc. | Past | Accepting new patients |
Locations (25 of 32)
155 N San Vicente Blvd
#1182
Beverly Hills, CA 90211
Phone (323) 433-7800
455 Hickey Blvd
Ste 200
Daly City, CA 94015
Phone (650) 757-2030
727 E Court St
Paris, IL 61944
Phone (217) 465-4141
721 E Court St
Paris, IL 61944
Phone (217) 465-4141
7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088
6920 Pointe Inverness Way
Ste 200
Fort Wayne, IN 46804
Phone (260) 479-3514
2516 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 434-6076
223 W Ward St
Ste B
Asheboro, NC 27203
Phone (336) 702-1731
223 W Ward St
#B
Asheboro, NC 27203
905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040
1814 Westchester Dr
Ste 100
High Point, NC 27262
Phone (336) 802-2397
861 Old Winston Rd
Ste 105
Kernersville, NC 27284
Phone (336) 765-5722
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947
265 Executive Park Blvd
Winston Salem, NC 27103
Phone (336) 765-5722
301 E Jackson St
Dillon, SC 29536
Phone (843) 774-1166
555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233
3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000
200 E Hospital St
Manning, SC 29102
Phone (803) 433-0439
10 E Hospital St
Manning, SC 29102
Phone (803) 433-3000
12200 Warwick Blvd
Ste 590B
Newport News, VA 23601
Phone (757) 534-5909
856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900
858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343
600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
Networks
- Freedom Health HMO Network
Interoperability endpoints
- khall2754391@carolinashealthcaresystem.direct-ci.com
- kent.hall.1@11356.direct.athenahealth.com
Organizations & group practices 39
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.
-
dba Riverside Gastroenterology Specialists
- Gastroenterology Physician
- Newport News, VA
- NPI 1194929026
-
dba McLeod Loris/Seacoast Physicians
- Certified Registered Nurse Anesthetist
- Loris, SC
- NPI 1265708119
-
dba Cbo MRMC Emergency
- Emergency Medical Services (Emergency Medicine) Physician
- Florence, SC
- NPI 1154371433
-
dba Atrium Health Wake Forest Baptist Imaging
- Radiology Clinic/Center
- Winston Salem, NC
- NPI 1972763357
Diagnostic Radiology
-
dba Atrium Health Wake Forest Baptist Pediatrics - Greensboro
- Pediatrics Physician
- Greensboro, NC
- NPI 1477785756
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
-
- Multi-Specialty Clinic/Center
- Lexington, VA
- NPI 1174636021
NC
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1265485270
-
dba Simonmed Imaging
- Diagnostic Radiology Physician
- Mountain View, CA
- NPI 1104321959
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hickory, NC
- NPI 1164495255
-
dba High Point Regional
- General Acute Care Hospital
- High Point, NC
- NPI 1396746228
-
- General Acute Care Hospital
- Statesville, NC
- NPI 1417944224
-
- Psychiatric Hospital Unit
- Winston Salem, NC
- NPI 1063480531
-
- Rehabilitation Hospital Unit
- Winston Salem, NC
- NPI 1114995677
-
dba Wake Forest Baptist Medical Center
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1144211301
-
dba Wake Forest Baptist Medical Center
- Clinical Medical Laboratory
- Winston Salem, NC
- NPI 1609162098
Hospital
-
dba Winston East Pediatrics
- Pediatric Adolescent Medicine Physician
- Winston Salem, NC
- NPI 1912179219
Hospital
-
dba Wilkes Regional Medical Center
- General Acute Care Hospital
- North Wilkesboro, NC
- NPI 1881614071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704412800000",
"number": "1184935983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 S JEFFERSON ST STE 1006",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240111713",
"telephone_number": "540-224-5352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1906 BELLEVIEW AVE SE",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240141838",
"telephone_number": "540-981-7083",
"fax_number": "540-981-8260"
}
],
"practiceLocations": [
{
"address_1": "554 Keily Street",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "32212",
"country_code": "US",
"telephone_number": "757-953-7550",
"fax_number": "757-953-7560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 Gresham Dr",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "235071904",
"country_code": "US",
"telephone_number": "757-388-8870",
"fax_number": "757-388-8871",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 Pasteur Dr",
"address_purpose": "LOCATION",
"city": "Stanford",
"state": "CA",
"postal_code": "943052200",
"country_code": "US",
"telephone_number": "650-723-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Medical Center Blvd",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271572200",
"country_code": "US",
"telephone_number": "336-716-2255",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14551 Hope Center Loop Ste 100",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339124705",
"country_code": "US",
"telephone_number": "239-936-2316",
"fax_number": "239-936-3099",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALL",
"first_name": "KENT",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-25",
"last_updated": "2024-01-05",
"certification_date": "2024-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME161169",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A156017",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101250174",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "2023-00962",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.