Individual provider Active NPI

Elizabeth Anne Hall, MD

  • Emergency Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1467718015
Registry record updated Jun 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
153789 Issued in CA
Practice address
3400 Spruce St
Ground Ravdin
Philadelphia, PA 19104-4238
Phone
(215) 662-6698
NPI assigned
Apr 9, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD454777 PA
Emergency Medicine Physician 207P00000X 153789 CA Primary

Addresses

Primary practice location

3400 Spruce St
Ground Ravdin
Philadelphia, PA 19104-4238

Mailing address

3400 Spruce St
Ground Ravdin
Philadelphia, PA 19104-4238
Phone (215) 662-6698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, CA2 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
I20170126001851 OH Practitioner - Emergency Medicine 3870807480 Reassigns benefits to 2 organizations
I20180807002740 CA Practitioner - Emergency Medicine 3870807480 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Wright State University Boonshoft School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Professional Services, Inc.Group PAC ID 7214832435, 121 clinicians

Practice addresses (Care Compare)

2420 Lake Ave
Ashtabula, OH 44004-4954
Phone (440) 997-2262

Hospital & facility affiliations

  • Saint John'S Health Center Hospital, Santa Monica, CA, CCN 050290
  • Providence Cedars Sinai Tarzana Medical Center Hospital, Tarzana, CA, CCN 050761
  • Ashtabula County Medical Center Hospital, Ashtabula, OH, CCN 360125

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
153789CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Emergency Medicine Current Accepting new patients
Cep America - California Emergency Medicine CurrentSince Jun 29, 2021 Accepting new patients
Tarzana Emergency Medical Associates Emergency Medicine CurrentSince Jul 6, 2025 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Jan 1, 2017 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Saint Johns Emergency Medicine Specialists Inc a Medical Group Emergency Medicine CurrentSince Feb 1, 2020 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Mar 5, 2024 Accepting new patients
Ohio Emergency Care Services, Inc Emergency Medicine CurrentSince Apr 1, 2017 Accepting new patients
Team Physicians of Northern California Medical Group Inc Emergency Medicine CurrentSince Oct 1, 2021 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Jun 29, 2021 Accepting new patients
Solano Gateway Medical Group Inc Emergency Medicine CurrentSince Oct 24, 2019 Accepting new patients

Locations

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

751 Medical Center Ct
#1182
Chula Vista, CA 91911

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

18321 Clark St
Tarzana, CA 91356
Phone (310) 423-6744

7300 Medical Ctr
West Hills, CA 91307
Phone (818) 612-8301

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

651 W Marion Rd
Mount Gilead, OH 43338
Phone (419) 946-5015

Interoperability endpoints

  • Direct secure messaging: elizabeth.hall.p1@direct.dvmg.nextgenshare.com

Organizations & group practices 11

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 3

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": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624665600000",
    "number": "1467718015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "address_2": "GROUND RAVDIN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238",
            "telephone_number": "215-662-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "address_2": "GROUND RAVDIN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238",
            "telephone_number": "215-662-6698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-09",
        "last_updated": "2021-06-26",
        "certification_date": "2021-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD454777",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "153789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.