Individual provider Active NPI

Richard Lee Hallett, M.D.

  • Diagnostic Radiology Physician
  • Stanford, CA
National Provider Identifier
1407876865
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G87256 Issued in CA
Practice address
300 Pasteur Dr
Stanford, CA 94305-2200
Phone
(650) 723-4000
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 01042809A IN
Diagnostic Radiology Physician 2085R0202X G87256 CA Primary

Addresses

Primary practice location

300 Pasteur Dr
Stanford, CA 94305-2200

Mailing address

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

Other practice location 1

200 W Arbor Dr
San Diego, CA 92103-9000
Phone (800) 926-8273

Other practice location 2

PO Box 232410
San Diego, CA 92193-2410
Phone (999) 999-9999

Other identifiers 5

IdentifierTypeStateIssuer
Q0341662OtherINCMOSHO351158723&352047427
000000492350OtherINANTHEM 203778927
000000491069OtherINANTHEM 351158723
004020OtherINSIHO 351158723
200149430MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, CA, AZ3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040622001181 IN Practitioner - Diagnostic Radiology 6002891157 Reassigns benefits to 3 organizations
I20040831000570 CA Practitioner - Diagnostic Radiology 6002891157 Reassigns benefits to 4 organizations
I20230926003406 AZ Practitioner - Diagnostic Radiology 6002891157 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Indiana University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiant Imaging IncGroup PAC ID 7113145558, 65 clinicians
Banner - University Hospital Based Physicians LLCGroup PAC ID 1052614294, 343 clinicians
Stanford Health CareGroup PAC ID 6709797491, 3,152 clinicians
Banner Imaging Services LLCGroup PAC ID 1850724386, 122 clinicians
Astra Healthcare PLCGroup PAC ID 6406381425, 5 clinicians

Practice addresses (Care Compare)

Indianapolis, IN 46278
Phone (317) 328-5050

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

420 Broadway St
Redwood City, CA 94063-3132
Phone (650) 723-4000

4200 E Camelback Rd
Suite 105
Phoenix, AZ 85018-2718
Phone (480) 610-7400

450 Broadway St
Redwood City, CA 94063-3132
Phone (650) 723-4000

625 S Fair Oaks Ave
Suite 180
Pasadena, CA 91105-2643
Phone (626) 229-8969

7010 E Chauncey LN
Suite 215
Phoenix, AZ 85054-3117
Phone (480) 462-2716

Hospital & facility affiliations

  • Banner - University Medical Center Phoenix Hospital, Phoenix, AZ, CCN 030002
  • Banner Thunderbird Medical Center Hospital, Glendale, AZ, CCN 030089

Merit-based Incentive Payment System (MIPS)

Final score
88.53 of 100Reported as group
Quality
78.73
Promoting interoperability
98
Improvement activities
40
Cost
62.46

Merit-based Incentive Payment System (MIPS)

Final score
68 of 100Reported as group
Quality
80
Improvement activities
0

Merit-based Incentive Payment System (MIPS)

Final score
88.53 of 100Reported as group
Quality
87.08
Promoting interoperability
100
Improvement activities
40
Cost
69.51

Merit-based Incentive Payment System (MIPS)

Final score
88.67 of 100Reported as group
Quality
86
Improvement activities
40
Cost
77.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01042809AINMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Imaging Services LLC Diagnostic Radiology CurrentSince May 7, 2024 Accepting new patients
Associated Valley Radiologists LTD Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Stanford Health Care Diagnostic Radiology Current Accepting new patients
Radiant Imaging, Inc. Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Sep 13, 2023 Accepting new patients
Regents of the University of California Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Banner Imaging Services LLC CurrentSince May 7, 2024 Accepting new patients
Northwest Radiology Network P C Diagnostic Radiology CurrentSince Oct 1, 2006 Accepting new patients
The Hill Medical Corporation Diagnostic Radiology CurrentSince Nov 8, 2022 Accepting new patients
Banner Imaging Services LLC Diagnostic Radiology Current Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Sep 13, 2023 Accepting new patients
Stanford Health Care Diagnostic Radiology CurrentSince Jul 1, 2004 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Sep 13, 2023 Accepting new patients
Stanford Health Care CurrentSince Jul 1, 2004 Accepting new patients
The Hill Medical Corporation Diagnostic Radiology CurrentSince Nov 8, 2022 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Sep 13, 2023 Accepting new patients
Columbus Radiology Inc Diagnostic Radiology Past Accepting new patients
Summit Radiology P C Diagnostic Radiology Past Accepting new patients
Cira Michigan PC Diagnostic Radiology Past Accepting new patients
St Vincent Northwest Radiology LLC Diagnostic Radiology Past Accepting new patients
Major Hospital Past Accepting new patients
Rush Memorial Hospital Past Accepting new patients

Locations (25 of 32)

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

1828 E Florence Blvd
Ste B118
Casa Grande, AZ 85122

1828 E Florence Blvd
Ste 118
Casa Grande, AZ 85122
Phone (520) 381-9729

18275 N 59th Ave
Ste 168
Glendale, AZ 85308

1800 N Civic Sq
Ste 120
Goodyear, AZ 85395
Phone (928) 813-4624

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

6553 E Baywood Ave
Ste 102
Mesa, AZ 85206
Phone (480) 268-7600

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

9305 W Thomas Rd
Ste 100
Phoenix, AZ 85037
Phone (623) 842-5652

1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

2222 E Highland Ave
Ste 106
Phoenix, AZ 85016
Phone (602) 483-6165

4200 E Camelback Rd
Ste 105
Phoenix, AZ 85018

7400 N Dobson Rd
Ste 102
Scottsdale, AZ 85256

13909 W Camino del Sol
Ste 101
Sun City West, AZ 85375
Phone (623) 544-7300

1625 N Campbell Ave
Tucson, AZ 85719

301 W Huntington Dr
Ste 617
Arcadia, CA 91007
Phone (626) 247-2250

130 W Route 66
Ste 110
Glendora, CA 91740
Phone (818) 914-3384

1804 Embarcadero Rd
Ste 100
Palo Alto, CA 94303
Phone (650) 497-9067

751 Cordova St
Pasadena, CA 91101
Phone (626) 229-8969

625 S Fair Oaks Ave
Ste 180
Pasadena, CA 91105
Phone (626) 229-8969

625 S Fair Oaks Ave
Ste 325
Pasadena, CA 91105
Phone (626) 229-8969

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

Organizations & group practices 25

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.

View all 25

Hospital & facility affiliations 2

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1407876865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 W Arbor Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921039000",
            "country_code": "US",
            "telephone_number": "800-926-8273",
            "fax_number": "888-539-8781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "PO Box 232410",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921932410",
            "country_code": "US",
            "telephone_number": "999-999-9999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALLETT",
        "first_name": "RICHARD",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01042809A",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G87256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMOSHO351158723&352047427",
            "identifier": "Q0341662",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM 203778927",
            "identifier": "000000492350",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM 351158723",
            "identifier": "000000491069",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO 351158723",
            "identifier": "004020",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200149430",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, CA

Sources for this page

Verify at the official NPI Registry.