Individual provider Active NPI

Suzanne Hall, M.D.

  • Specialist
  • Roseville, MI
National Provider Identifier
1689674897
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
061518 Issued in MI
Practice address
29751 Little Mack Ave
Suite B
Roseville, MI 48066-2238
Phone
(586) 415-6200
Fax
(586) 415-6217
NPI assigned
Jul 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 061518 MI Primary

Addresses

Primary practice location

29751 Little Mack Ave
Suite B
Roseville, MI 48066-2238

Mailing address

29751 Little Mack Ave
Suite B
Roseville, MI 48066-2238
Phone (586) 415-6200

Other identifiers 2

IdentifierTypeStateIssuer
0E061676161OtherMIMEDICARE PROVIDER
4305039MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050103000315 MI Practitioner - Obstetrics/Gynecology 3173581576 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Indiana University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Together Women'S Health Medical Group, P.C.Group PAC ID 2466543640, 74 clinicians

Practice addresses (Care Compare)

29751 Little Mack Ave
Suite B
Roseville, MI 48066-6504
Phone (586) 415-6200

Hospital & facility affiliations

  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089
  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165
  • Ascension Providence Rochester Hospital Hospital, Rochester, MI, CCN 230254
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

Merit-based Incentive Payment System (MIPS)

Final score
91.65 of 100Reported as group
Quality
84.82
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
061518MIMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Together Women'S Health Medical Group, P.C. Obstetrics & Gynecology CurrentSince Apr 1, 2001 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Aug 13, 2018 Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
Henry Ford Health St. John Hospital Obstetrics & Gynecology CurrentSince Aug 13, 2018 Accepting new patients
Together Women'S Health Medical Group of Illinois, PLLC Specialist Past Accepting new patients

Locations

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

16815 E Jefferson Ave
Ste 230
Grosse Pointe, MI 48230

114 Kercheval Ave
Grosse Pointe Farms, MI 48236
Phone (313) 884-3288

17900 23 Mile Rd
Ste 301
Macomb, MI 48044
Phone (586) 228-8874

1349 S Rochester Rd
Ste 125
Rochester Hills, MI 48307
Phone (248) 650-1534

29751 Little Mack Ave
Ste B
Roseville, MI 48066

3601 W 13 Mile Rd
Royal Oak, MI 48073

Interoperability endpoints

  • Direct secure messaging: shall1131143@direct.hfhs.org
  • Direct secure messaging: suzanne.hall.1@23349.direct.athenahealth.com
  • Direct secure messaging: shall1236755@epic00.shdirect.org

Organizations & group practices 5

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 5

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": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1689674897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29751 LITTLE MACK AVE",
            "address_2": "SUITE B",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480662238",
            "telephone_number": "586-415-6200",
            "fax_number": "586-415-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29751 LITTLE MACK AVE",
            "address_2": "SUITE B",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480662238",
            "telephone_number": "586-415-6200",
            "fax_number": "586-415-6217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "061518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "0E061676161",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4305039",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

Verify at the official NPI Registry.