Active NPI
Eric Hall, D.O
- Pediatrics Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- DR.0058274
- Practice address
- 2001 W 86TH St
Indianapolis, IN 46260-1902 - Phone
- (317) 415-7921
- Fax
- (317) 415-7922
- NPI assigned
- Apr 1, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 02005996A | IN | |
| Pediatrics Physician | 208000000X | 390200000 | PA | |
| Pediatrics Physician | 208000000X | DR.0058274 | CO | Primary |
Addresses
Primary practice location
2001 W 86TH St
Indianapolis, IN 46260-1902
Mailing address
1905 Blake Ave Ste 201
Glenwood Springs, CO 81601-4286
Phone (970) 947-9999
Other practice location 1
Geisinger Medical Ctr
100 North Academy Avenue
Danville, PA 17822-0001
Phone (570) 271-6211
Other practice location 2
1905 Blake Ave Ste 201
Glenwood Springs, CO 81601-4286
Phone (970) 947-9999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DR.0058274 | Other | CO | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 390200000 | PA | MD | Obstetrics & Gynecology Physician |
| DR.0058274 | CO | MD | Pediatrics Physician |
| 02005996A | IN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincent Pediatric Subspecialties | Pediatrics | Current | Accepting new patients |
| Valley View Hospital Association | Current | Accepting new patients | |
| St Vincent Pediatric Subspecialties | Pediatrics | Current | Accepting new patients |
Locations
1905 Blake Ave
Ste 201
Glenwood Springs, CO 81601
Phone (970) 947-9999
2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617
Interoperability endpoints
- vvh_him@direct.vvh.org
- ehall397764@direct-prd.stelizabeth.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.
-
- Pediatrics Physician
- Indianapolis, IN
- NPI 1013967736
-
- Pediatric Critical Care Medicine Physician
- Evansville, IN
- NPI 1851950224
Pediatrics
-
- General Acute Care Hospital
- Glenwood Springs, CO
- NPI 1982668133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757376000000",
"number": "1326466830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1905 BLAKE AVE STE 201",
"city": "GLENWOOD SPRINGS",
"state": "CO",
"postal_code": "816014286",
"telephone_number": "970-947-9999",
"fax_number": "970-947-9226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 W 86TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462601902",
"telephone_number": "317-415-7921",
"fax_number": "317-415-7922"
}
],
"practiceLocations": [
{
"address_1": "Geisinger Medical Ctr",
"address_2": "100 North Academy Avenue",
"address_purpose": "LOCATION",
"city": "Danville",
"state": "PA",
"postal_code": "178220001",
"country_code": "US",
"telephone_number": "570-271-6211",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1905 Blake Ave Ste 201",
"address_purpose": "LOCATION",
"city": "Glenwood Springs",
"state": "CO",
"postal_code": "816014286",
"country_code": "US",
"telephone_number": "970-947-9999",
"fax_number": "970-947-9226",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALL",
"first_name": "ERIC",
"credential": "D.O",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-01",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "02005996A",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "390200000",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "DR.0058274",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "DR.0058274",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.