Active NPI
Samuel James Hall, DO
- Internal Medicine Physician
- Olathe, KS
National Provider Identifier
1275327199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 94-12276
- Practice address
- 20375 W 151St St Ste 325
Olathe, KS 66061-5306 - Phone
- (913) 588-0347
- NPI assigned
- Apr 7, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 94-12276 | KS | Primary |
Addresses
Primary practice location
20375 W 151St St Ste 325
Olathe, KS 66061-5306
Mailing address
20375 W 151St St Ste 325
Olathe, KS 66061-5306
Phone (913) 588-0347
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250613001828 | KS | Order and Referring Only - Internal Medicine | 8426569898 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750723200000",
"number": "1275327199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20375 W 151ST ST STE 325",
"city": "OLATHE",
"state": "KS",
"postal_code": "660615306",
"telephone_number": "913-588-0347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20375 W 151ST ST STE 325",
"city": "OLATHE",
"state": "KS",
"postal_code": "660615306",
"telephone_number": "913-588-0347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "SAMUEL",
"middle_name": "JAMES",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-04-07",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KS",
"license": "94-12276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.