Individual provider Active NPI

Michael Louis Hall, MD

  • Obstetrics & Gynecology Physician
  • Englewood, CO
National Provider Identifier
1285710517
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
21722 Issued in CO
Practice address
180 E Hampden Ave Ste 100
Englewood, CO 80113-2517
Phone
(303) 789-6018
NPI assigned
Oct 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 32340 NE
Obstetrics & Gynecology Physician 207V00000X 21722 CO Primary

Addresses

Primary practice location

180 E Hampden Ave Ste 100
Englewood, CO 80113-2517

Mailing address

180 E Hampden Ave Ste 100
Englewood, CO 80113-2517
Phone (303) 789-6018

Other practice location 1

7001 A St Ste 200
Lincoln, NE 68510-4205
Phone (402) 484-4081

Other identifiers 1

IdentifierTypeStateIssuer
01217223MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101116000525 CO Practitioner - Obstetrics/Gynecology 7113088253 Reassigns benefits to 1 organization
I20200303001438 NE Practitioner - Obstetrics/Gynecology 7113088253

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bella Natural Womens CareGroup PAC ID 1052531787, 18 clinicians

Practice addresses (Care Compare)

180 E Hampden Ave
Suite 100
Englewood, CO 80113-2517
Phone (303) 789-4968

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21722COMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bella Natural Womens Care Obstetrics & Gynecology CurrentSince Nov 1, 2022 Accepting new patients
Bella Natural Womens Care Obstetrics & Gynecology CurrentSince Nov 1, 2022 Accepting new patients
HCA Healthone LLC Past Accepting new patients

Locations

3894 Olive St
Denver, CO 80207
Phone (303) 695-7873

180 E Hampden Ave
Ste 100
Englewood, CO 80113
Phone (303) 789-4968

Interoperability endpoints

  • Direct secure messaging: michael.hall.1@9345.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1162166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1285710517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 E HAMPDEN AVE STE 100",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132517",
            "telephone_number": "303-789-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 E HAMPDEN AVE STE 100",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132517",
            "telephone_number": "303-789-6018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7001 A St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685104205",
            "country_code": "US",
            "telephone_number": "402-484-4081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "MICHAEL",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-30",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NE",
            "license": "32340",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "21722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01217223",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.