Individual provider Active NPI

Robert E Hall, D.C.

  • Chiropractor
  • Merrillville, IN
National Provider Identifier
1679523104
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001395A Issued in IN
Practice address
5360 Broadway
Merrillville, IN 46410-1555
Phone
(219) 884-3250
Fax
(219) 884-3828
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08001395A IN Primary

Addresses

Primary practice location

5360 Broadway
Merrillville, IN 46410-1555

Mailing address

5360 Broadway
Merrillville, IN 46410-1555
Phone (219) 884-3250

Other identifiers 1

IdentifierTypeStateIssuer
10338150MedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120313000579 IN Practitioner - Chiropractic 9638338536 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Pain and Performance LLCGroup PAC ID 0143724336, 2 clinicians

Practice addresses (Care Compare)

801 W Glen Park Ave
Griffith, IN 46319-2087
Phone (219) 924-2112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08001395AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Pain and Performance LLC Chiropractor CurrentSince Aug 16, 2025 Accepting new patients

Locations

801 W Glen Park Ave
Griffith, IN 46319
Phone (219) 924-2112

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1679523104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5360 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464101555",
            "telephone_number": "219-884-3250",
            "fax_number": "219-884-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5360 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464101555",
            "telephone_number": "219-884-3250",
            "fax_number": "219-884-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "ROBERT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001395A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10338150",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.