Micah Hall, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9407946 Issued in KS

Practice address

2117 Keystone Cir
Andover, KS 67002-8749

Phone

(316) 733-5120

Fax

(316) 733-1280

NPI assigned

Jun 21, 2012

Last updated

May 16, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Family Practice

Education

University of Kansas School of Med (KC/Wich/Sal), 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Andover Family Medicine LLCGroup PAC ID 7012920663, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Specialized Home Care Home health agency, Wichita, KS, CCN 178111
• Phoenix Home Care Home health agency, Wichita, KS, CCN 178012
• Phoenix Home Care & Hospice Hospice, Wichita, KS, CCN 171585
• Ascension Via Christi Hospitals Wichita, Inc. Hospital, Wichita, KS, CCN 170122
• Wesley Medical Center Hospital, Wichita, KS, CCN 170123

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Andover Family Medicine, LLC

  • Primary Care Clinic/Center
  • Andover, KS
  • NPI 1124067558
  Medicare reassignment Care Compare group NPD
• Aurelio Performance Physical Therapy of Scottsdale LLC

  • Physical Medicine & Rehabilitation Physician
  • Scottsdale, AZ
  • NPI 1609581123
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ascension Via Christi Hospitals Wichita Inc.

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1154314789
  Care Compare affiliation
• Core Home Health Agency LLC

  dba Specialized Home Care

  • Home Health Agency
  • Wichita, KS
  • NPI 1194493569
  Care Compare affiliation
• Proactive Home Care, LLC

  dba Phoenix Home Care

  • Home Health Agency
  • Wichita, KS
  • NPI 1013979905
  Care Compare affiliation
• Promises Kept, LLC

  dba Phoenix Home Care & Hospice

  • Community Based Hospice Care Agency
  • Wichita, KS
  • NPI 1518273408
  Care Compare affiliation
• Wesley Medical Center LLC

  dba Wesley LifeWatch

  • Land Ambulance
  • Wichita, KS
  • NPI 1205760006

  Hospital

  Care Compare affiliation
• Wesley Medical Center LLC

  dba Wesley Medical Center

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1447299649
  Care Compare affiliation

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1194088484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 KEYSTONE CIR",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670028749",
            "telephone_number": "316-733-5120",
            "fax_number": "316-733-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 KEYSTONE CIR",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670028749",
            "telephone_number": "316-733-5120",
            "fax_number": "316-733-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "MICAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-21",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "9407946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Green, PHARMD
• Greenleaf Family Chiropractic, LLC
• Grene Vision Group LLC
• Todd Joseph Grisier, O.T.
• Hope Lee Guerrero, APRN, FNP
• Teresa J Hambley, APRN
• Colby Hammond
• Scott M Hane, MD
• Nathaniel Haney, PHARMD
• Amy M Hankins, APRN

• Family Medicine Physician in Andover, KS
• Providers in Andover, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; 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.

Verify at the official NPI Registry.