Active NPI
Hall Medical LLC
- Internal Medicine Physician
- Gilbert, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Drew V Hall, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 915630 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2270779 | Hall Medical | Certificate of waiver | Oct 19, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- Gilbert, AZ
- NPI 1205129798
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.