Active NPI
Elizabeth Anne Hall, MD
- Emergency Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 153789
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
Practice addresses (Care Compare)
2420 Lake Ave
Ashtabula, OH 44004-4954
Phone (440) 997-2262
Hospital & facility affiliations
- Saint John'S Health Center
- Providence Cedars Sinai Tarzana Medical Center
- Ashtabula County Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.69 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 78.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 153789 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Tarzana Emergency Medical Associates | Emergency Medicine | Current | Accepting new patients |
| Emergency Professional Services, Inc. | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Saint Johns Emergency Medicine Specialists Inc a Medical Group | Emergency Medicine | Current | Accepting new patients |
| Cep America-California | Emergency Medicine | Current | Accepting new patients |
| Ohio Emergency Care Services, Inc | Emergency Medicine | Current | Accepting new patients |
| Team Physicians of Northern California Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Cep America-California | Emergency Medicine | Current | Accepting new patients |
| Solano Gateway Medical Group Inc | Emergency Medicine | Current | 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
- 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.
-
- Emergency Medicine Physician
- Seaman, OH
- NPI 1093762353
-
- Emergency Medicine Physician
- San Francisco, CA
- NPI 1023063542
-
- Emergency Medicine Physician
- Santa Ana, CA
- NPI 1548667843
-
- Emergency Medicine Physician
- Delaware, OH
- NPI 1184028524
-
- Emergency Medicine Physician
- Santa Monica, CA
- NPI 1609888940
-
- Emergency Medicine Physician
- Fairfield, CA
- NPI 1952344293
-
- Emergency Medicine Physician
- Tarzana, CA
- NPI 1235176702
-
- Emergency Medicine Physician
- Pleasanton, CA
- NPI 1649692716
-
- Emergency Medicine Physician
- Glendora, CA
- NPI 1043684764
-
- Emergency Medicine Physician
- Bakersfield, CA
- NPI 1104696806
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ashtabula, OH
- NPI 1285607416
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1124026273
-
- General Acute Care Hospital
- Tarzana, CA
- NPI 1821250762
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.