Organization Active NPI

Hall Medical LLC

  • Internal Medicine Physician
  • Gilbert, AZ
National Provider Identifier
1629702659
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HALL MEDICAL LLC
Practice address
690 E Warner Rd Ste 127
Gilbert, AZ 85296-3057
Phone
(480) 874-7331
Fax
(480) 865-2753
NPI assigned
Jul 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Authorized official

Name
Dr. Drew V Hall, MDNPI 1205129798
Title
Owner
Phone
(480) 874-7331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

690 E Warner Rd Ste 127
Gilbert, AZ 85296-3057

Mailing address

PO Box 862
Chandler, AZ 85244-0862
Phone (480) 255-9484

Other identifiers 1

IdentifierTypeStateIssuer
915630MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220823003206 AZ Part B Supplier - Clinic/Group Practice 3971986985 Receives reassigned benefits from 1 practitioner
Practice locations: Gilbert, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2270779Hall Medical690 E Warner Rd Ste 127, Gilbert, AZ 85296Certificate of waiverOct 19, 2026

National Provider Directory

National Provider Directory

Locations

690 E Warner Rd
Ste 127
Gilbert, AZ 85296
Phone (480) 632-5800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657756800000",
    "number": "1629702659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 862",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852440862",
            "telephone_number": "480-255-9484",
            "fax_number": "888-972-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 E WARNER RD STE 127",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963057",
            "telephone_number": "480-874-7331",
            "fax_number": "480-865-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALL MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "DREW",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-874-7331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "915630",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.