NPIMap

Individual provider Active NPI

Laun Hallstrom

  • Physical Medicine & Rehabilitation Physician
  • Du Bois, PA
National Provider Identifier
1366557845
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD056233L Issued in PA
Practice address
89 Beaver Dr
Du Bois, PA 15801-2425
Phone
(814) 371-4524
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD056233L PA Primary

Addresses

Primary practice location

89 Beaver Dr
Du Bois, PA 15801-2425

Mailing address

89 Beaver Dr
Du Bois, PA 15801-2425

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address laun.hallstrom@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050707000483 PA Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 1850337221 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Jefferson Medical College of Thomas Jefferson University, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Health Services IncGroup PAC ID 4880593722, 572 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

100 Fairfield Dr
Seneca, PA 16346-2130
Phone (412) 432-5203

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

3406 Peach St
Erie, PA 16508-2740
Phone (814) 877-5381

89 Beaver Dr
Du Bois, PA 15801-2425
Phone (814) 371-4524

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.89 of 100Reported as group
Quality
65.8
Promoting interoperability
100
Improvement activities
40
Cost
73.83

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medicine, Inc Current Accepting new patients
Regional Health Services Inc CurrentSince Jun 1, 2016 Accepting new patients
Upmc Community Medcine Inc CurrentSince Jul 1, 2019 Accepting new patients
Upmc Community Medicine Inc CurrentSince Jul 1, 2019 Accepting new patients
Chong Min Park, M.D.,P.C. Past Accepting new patients
Dubois Regional Medical Center Past Accepting new patients

Locations

89 Beaver Dr
Dubois, PA 15801
Phone (814) 371-4524

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

2 Hot Metal St
Bldg 3RD
Pittsburgh, PA 15203

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

83 Hillcrest Dr
Punxsutawney, PA 15767
Phone (814) 938-0225

Interoperability endpoints

  • Direct secure messaging: lhallstrom109736@upmc.direct-ci.com

Organizations & group practices 6

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 36

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1366557845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 BEAVER DR",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 BEAVER DR",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012425",
            "telephone_number": "814-371-4524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLSTROM",
        "first_name": "LAUN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD056233L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "laun.hallstrom@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

Verify at the official NPI Registry.