NPIMap

Individual provider Active NPI

Kelly Copeland Hall, MD

  • Obstetrics & Gynecology Physician
  • Bethlehem, PA
National Provider Identifier
1376930164
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD466355 Issued in PA
Practice address
834 Eaton Ave
Bethlehem, PA 18018-1832
Phone
(484) 526-7474
NPI assigned
Apr 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD466355 PA Primary

Addresses

Primary practice location

834 Eaton Ave
Bethlehem, PA 18018-1832

Mailing address

834 Eaton Ave
Bethlehem, PA 18018-1832
Phone (484) 526-7474

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
I20190913000368 PA Practitioner - Obstetrics/Gynecology 9436468626 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Ohio State University College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

834 Eaton Avenue 1St Floor
St Luke'S Obstetrics and Gynecology Associa
Bethlehem, PA 18018-1832
Phone (484) 526-7474

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • St Luke'S Hospital - Monroe Campus Hospital, Stroudsburg, PA, CCN 390330
  • St Luke'S Hospital - Easton Campus Hospital, Easton, PA, CCN 390162
  • St Luke'S Warren Hospital Hospital, Phillipsburg, NJ, CCN 310060

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Physician Group, Inc. Obstetrics & Gynecology CurrentSince Aug 1, 2019 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
Star Community Health, Inc CurrentSince Jan 1, 2023 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Aug 1, 2019 Accepting new patients
Star Community Health, Inc CurrentSince Jan 1, 2023 Accepting new patients
St. Luke'S Physician Group, Inc Obstetrics & Gynecology Past Accepting new patients
St Lukes Hospital-Anderson Campus Past Accepting new patients
St Luke'S Hospital Past Accepting new patients

Locations

511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460

125 Smithfield Ln
East Stroudsburg, PA 18301
Phone (272) 212-3872

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Organizations & group practices 8

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 9

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

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1376930164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 EATON AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180181832",
            "telephone_number": "484-526-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 EATON AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180181832",
            "telephone_number": "484-526-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAND HALL",
        "first_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-20",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD466355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.