Individual provider Active NPI

Drew Hall

  • Internal Medicine Physician
  • Gilbert, AZ
National Provider Identifier
1205129798
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
BP10040643 Issued in TX
Practice address
690 E Warner Rd Ste 127
Gilbert, AZ 85296-3057
Phone
(480) 874-7331
Fax
(480) 865-2753
NPI assigned
May 17, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10040643 TX Primary

Addresses

Primary practice location

690 E Warner Rd Ste 127
Gilbert, AZ 85296-3057

Mailing address

690 E Warner Rd Ste 127
Gilbert, AZ 85296-3057
Phone (480) 874-7331

Other practice location 1

245 S Dobson Rd
Chandler, AZ 85224-6577
Phone (480) 895-5870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20140816000116 AZ Practitioner - Internal Medicine 0547487498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

690 E Warner Rd
Suite 127
Gilbert, AZ 85296-3057
Phone (480) 874-7331

Hospital & facility affiliations

  • Dignity Health at Home Home health agency, Chandler, AZ, CCN 037281
  • Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036
  • Mercy Gilbert Medical Center Hospital, Gilbert, AZ, CCN 030119

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10040643TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hall Medical LLC Internal Medicine CurrentSince Jul 11, 2022 Accepting new patients

Locations

245 S Dobson Rd
Chandler, AZ 85224
Phone (480) 355-9814

690 E Warner Rd
Ste 127
Gilbert, AZ 85296
Phone (480) 632-5800

Interoperability endpoints

  • Direct secure messaging: drewhall@hml-az.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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 3

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": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1205129798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 E WARNER RD STE 127",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963057",
            "telephone_number": "480-874-7331",
            "fax_number": "480-865-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 E WARNER RD STE 127",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963057",
            "telephone_number": "480-874-7331",
            "fax_number": "480-865-2753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 S Dobson Rd",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852246577",
            "country_code": "US",
            "telephone_number": "480-895-5870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "DREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-17",
        "last_updated": "2022-10-12",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10040643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.