Martin R Hall, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Practice address

3330 West 177TH St
Suite 2C
Hazel Crest, IL 60429

Phone

(708) 799-1144

Fax

(708) 799-4899

NPI assigned

Apr 5, 2006

Last updated

Feb 13, 2008By 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 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in IL

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

Orthopedic Surgery

Education

Loyola University of Chicago, Stritch School of Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IHJGCA/Endpoint/IHJGCA

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.

• Advanced Orthopedic Specialists S.C.

  • Orthopaedic Surgery Physician
  • Hazel Crest, IL
  • NPI 1992161202
  Authorized official Same address or phone
• Keystone Orthopedic Specialists S C

  • Orthopaedic Surgery Physician
  • Hazel Crest, IL
  • NPI 1528020559
  Authorized official Same address or phone
• Keystone Surgicare Inc

  • Ambulatory Surgical Clinic/Center
  • Hazel Crest, IL
  • NPI 1043429277
  Authorized official Same address or phone
• Michael J. Hartman, MD

  dba Keystone Orthopedic Specialists

  • Orthopaedic Surgery of the Spine Physician
  • Munster, IN
  • NPI 1437349495
  NPD (past) Authorized official
• Michael J. Hartman, MD, PC

  • Orthopaedic Surgery of the Spine Physician
  • Munster, IN
  • NPI 1366654410
  Authorized official Same address or phone
• Keystone Orthopedics S.C.

  • Orthopaedic Surgery Physician
  • Munster, IN
  • NPI 1447421086
  NPD (past)

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1205898194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 WEST 177TH ST",
            "address_2": "SUITE 2C",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "60429",
            "telephone_number": "708-799-1144",
            "fax_number": "708-799-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 WEST 177TH ST",
            "address_2": "SUITE 2C",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "60429",
            "telephone_number": "708-799-1144",
            "fax_number": "708-799-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "MARTIN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01036580A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "31603346",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVOCATE",
            "identifier": "36379809016898",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4339671",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DE2045",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000095624",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DD9203",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gupta MDSC
• Gupta MDSC
• Sushane Gupta
• Fakher Habib, MD
• Hakeem Health Care Inc
• Roxana Hampton, LCPC
• Lanita Handy
• Hanger Prosthetics & Orthotics East Inc
• Hanger Prosthetics & Orthotics West
• Cassandra Harbin, PHARMD

• Orthopaedic Surgery Physician in Hazel Crest, IL
• Providers in Hazel Crest, IL by specialty
• Orthopaedic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.