Micah Hall, MD
Individual provider Active NPI Family Medicine Physician · Andover, KS
NPI 1194088484 · NPPES record last updated May 16, 2025
Key facts
- NPI
- 1194088484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 9407946 (KS)
- Practice address
- 2117 Keystone Cir
Andover, KS 67002-8749 - Phone
- (316) 733-5120
- Fax
- (316) 733-1280
- NPI assigned
- Jun 21, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 6
Medicare Care Compare profile
- 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 LLC
Practice addresses (Care Compare)
2117 Keystone Cir
Andover, KS 67002-8749
Phone (316) 733-5120
Hospital & facility affiliations
- Specialized Home Care
- Phoenix Home Care
- Phoenix Home Care & Hospice
- Ascension Via Christi Hospitals Wichita, Inc.
- Wesley Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- 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 |
|---|---|---|---|---|
| I20170222000485 | KS | Practitioner - Family Practice | 0840447561 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andover Family Medicine, LLC | Current |
Accepting new patients | |
| Aurelio Performance Physical Therapy of Scottsdale LLC | Past |
Accepting new patients |
Locations
2117 Keystone Cir
Andover, KS 67002
Phone (316) 247-5430
105 S Andover Rd
Ste D
Andover, KS 67002
Phone (316) 733-5120
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9407946 | KS | Yes |
Addresses
Primary practice location
2117 Keystone Cir
Andover, KS 67002-8749
Mailing address
2117 Keystone Cir
Andover, KS 67002-8749
Phone (316) 733-5120
Other providers in Andover, KS
- Eric Green
- Greenleaf Family Chiropractic, LLC
- Grene Vision Group LLC
- Todd Joseph Grisier
- Hope Lee Guerrero
- Teresa J Hambley
- Colby Hammond
- Scott M Hane
- Nathaniel Haney
- Amy M Hankins
All providers in Andover, KS · Family Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 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.