Individual provider Active NPI

Kent Michael Hall, M.D.

  • Diagnostic Radiology Physician
  • Roanoke, VA
National Provider Identifier
1184935983
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101250174 Issued in VA
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

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, WA8 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 8

Enrollment IDStateProvider typePAC IDDetails
I20201023001297 CA Practitioner - Diagnostic Radiology 5395165757 Reassigns benefits to 2 organizations
I20210304002001 VA Practitioner - Diagnostic Radiology 5395165757 Reassigns benefits to 2 organizations
I20221110002500 IN Practitioner - Diagnostic Radiology 5395165757 Reassigns benefits to 1 organization
I20230316000887 FL Practitioner - Diagnostic Radiology 5395165757 Reassigns benefits to 1 organization
I20230710001413 NC Practitioner - Diagnostic Radiology 5395165757 Reassigns benefits to 8 organizations
I20230927000324 IL Practitioner - Diagnostic Radiology 5395165757 Reassigns benefits to 1 organization
I20241009001597 SC Practitioner - Diagnostic Radiology 5395165757 Reassigns benefits to 4 organizations
I20250430003565 WA Practitioner - Diagnostic Radiology 5395165757 Reassigns benefits to 2 organizations

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
Wake Forest Health Network LLCGroup PAC ID 4183538895, 276 clinicians
Wake Forest Baptist Imaging LLCGroup PAC ID 3173681681, 76 clinicians
Carilion Medical CenterGroup PAC ID 9830096585, 956 clinicians
McLeod Loris Seacoast HospitalGroup PAC ID 9133394398, 57 clinicians
Riverside Physician Services IncGroup PAC ID 5092608448, 793 clinicians

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

LicenseStateTypeSpecialty
A156017CAMDDiagnostic Radiology Physician
ME161169FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Mar 25, 2025 Accepting new patients
Carilion Tazewell Community Hospital CurrentSince Sep 17, 2023 Accepting new patients
McLeod Health Clarendon CurrentSince Sep 25, 2024 Accepting new patients
Carilion Giles Community Hospital CurrentSince Jan 3, 2024 Accepting new patients
Riverside Physician Services, Inc. CurrentSince Jan 5, 2024 Accepting new patients
McLeod Medical Center-Dillon CurrentSince Sep 25, 2024 Accepting new patients
McLeod Loris Seacoast Hospital CurrentSince Sep 25, 2024 Accepting new patients
McLeod Loris Seacoast Hospital CurrentSince Sep 25, 2024 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince Aug 2, 2023 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince Aug 14, 2023 Accepting new patients
Lutheran Medical Group LLC CurrentSince Oct 26, 2022 Accepting new patients
Carilion Medical Center CurrentSince Aug 2, 2023 Accepting new patients
Multicare Health System CurrentSince Mar 25, 2025 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Sep 25, 2024 Accepting new patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince Oct 19, 2020 Accepting new patients
Lutheran Medical Group LLC CurrentSince Oct 26, 2022 Accepting new patients
Carilion Medical Center CurrentSince Aug 2, 2023 Accepting new patients
Yakima Valley Memorial Physicians Current Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Apr 15, 2025 Accepting new patients
McLeod Health Clarendon CurrentSince Sep 25, 2024 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Sep 25, 2024 Accepting new patients
Wake Forest Baptist Imaging, LLC Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Riverside Physician Services Inc CurrentSince Jan 5, 2024 Accepting new patients
McLeod Medical Center-Dillon CurrentSince Sep 25, 2024 Accepting new patients
Howard Simon MD PLLC Diagnostic Radiology CurrentSince Mar 30, 2021 Accepting new patients
Riverside Physician Services Inc Current Accepting new patients
Wake Forest Baptist Imaging LLC Diagnostic Radiology CurrentSince Sep 27, 2024 Accepting new patients
Wake Forest University Health Sciences CurrentSince Jul 1, 2023 Accepting new patients
Wake Forest Health Network LLC Current Accepting new patients
Sentara Medical Group CurrentSince Dec 21, 2020 Accepting new patients
Carilion Giles Community Hospital CurrentSince Jan 3, 2024 Accepting new patients
Wake Forest Health Network, LLC CurrentSince Jun 1, 2025 Accepting new patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince Oct 19, 2020 Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Apr 15, 2025 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince Aug 14, 2023 Accepting new patients
Wake Forest Baptist Imaging, LLC Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Wake Forest Health Network LLC Diagnostic Radiology CurrentSince Jun 1, 2025 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

  • Direct secure messaging: khall2754391@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: 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.

View all 39

Hospital & facility affiliations 9

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": "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

Verify at the official NPI Registry.