NPIMap

Individual provider Active NPI

Gregory L Hall, MD

  • Internal Medicine Physician
  • Cleveland, OH
National Provider Identifier
1538197884
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-063967 Issued in OH
Practice address
464 Richmond Rd
Suite 201
Cleveland, OH 44143-2792
Phone
(216) 881-5055
Fax
(216) 881-5855
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-06-3967 OH
Internal Medicine Physician 207R00000X 35-063967 OH Primary

Addresses

Primary practice location

464 Richmond Rd
Suite 201
Cleveland, OH 44143-2792

Mailing address

464 Richmond Rd
Suite 201
Richmond HTS, OH 44143-2792
Phone (216) 881-5055

Other identifiers 1

IdentifierTypeStateIssuer
0900903MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20091027000798 OH Practitioner - Internal Medicine 9335244805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Ohio, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

158 W Main Rd
Conneaut, OH 44030-2039

27100 Chardon Rd
Richmond Heights, OH 44143-1116

3909 Orange PL
Beachwood, OH 44122-4468
Phone (216) 383-0100

3999 Richmond Rd
Beachwood, OH 44122-6046
Phone (216) 383-0100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-063967OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Inc CurrentSince Dec 1, 2021 Accepting new patients
University Primary Care Practices Inc Internal Medicine CurrentSince Dec 1, 2021 Accepting new patients
Buckeye Forest at Mayfield Heights LLC Past Accepting new patients
University Primary Care Practices Past Accepting new patients
Sunset Manor Healthcare Group, Inc Past Accepting new patients
University Manor Healthcare Group, Inc Past Accepting new patients

Locations

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

27100 Chardon Rd
Ste 150
Richmond Heights, OH 44143
Phone (440) 285-2800

Interoperability endpoints

  • Direct secure messaging: ghall36766@ehrdirect.uhhospitals.org

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
University Manor Health Care CenterCleveland, OH, CCN 365832 Skilled nursing facility Adp of the SNF Jan 2, 2003
Crawford Manor Healthcare CenterCleveland, OH, CCN 366110 Skilled nursing facility Adp of the SNF Apr 1, 2004

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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 7

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393200000000",
    "number": "1538197884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 RICHMOND RD",
            "address_2": "SUITE 201",
            "city": "RICHMOND HTS",
            "state": "OH",
            "postal_code": "441432792",
            "telephone_number": "216-881-5055",
            "fax_number": "216-881-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 RICHMOND RD",
            "address_2": "SUITE 201",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441432792",
            "telephone_number": "216-881-5055",
            "fax_number": "216-881-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "GREGORY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2014-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-06-3967",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-063967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0900903",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.