Individual provider Active NPI

Kris Hall, M.D.

  • Emergency Medicine Physician
  • Rockport, TX
National Provider Identifier
1710967906
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
L8359 Issued in TX
Practice address
1325 Broadway St
Rockport, TX 78382-3333
Phone
(361) 729-0646
Fax
(361) 729-8854
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A62482 CA
Emergency Medicine Physician 207P00000X L8359 TX Primary

Addresses

Primary practice location

1325 Broadway St
Rockport, TX 78382-3333

Mailing address

1740 Rosecrans St
San Diego, CA 92106-1928
Phone (619) 790-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040802000490 TX Practitioner - Emergency Medicine 2466423827 Reassigns benefits to 9 organizations
I20170922000595 CA Practitioner - Emergency Medicine 2466423827 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kern Valley Healthcare DistrictGroup PAC ID 8628069689, 19 clinicians

Practice addresses (Care Compare)

6412 Laurel Ave
Lake Isabella, CA 93240-9529
Phone 7603792681242

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A62482CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kern Valley Healthcare District CurrentSince Sep 1, 2024 Accepting new patients
Brewster Emergency Medicine Associates PA Emergency Medicine CurrentSince Jul 4, 2017 Accepting new patients
Webb Emergency Medicine Associates PA Emergency Medicine CurrentSince Jul 10, 2018 Accepting new patients
Apex Emergency Medical Group, Inc. Emergency Medicine CurrentSince Aug 12, 2017 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince May 5, 2018 Accepting new patients
Jackson County Hospital District Emergency Medicine CurrentSince Jun 9, 2004 Accepting new patients
Dewitt Medical District CurrentSince Nov 24, 2011 Accepting new patients
McAdams Emergency Medicine Associates, PA Emergency Medicine CurrentSince Nov 27, 2019 Accepting new patients
Ess of Crockett, LLC Emergency Medicine CurrentSince Mar 26, 2023 Accepting new patients
Jackson County Hospital District CurrentSince Jun 9, 2004 Accepting new patients
Angelina Emergency Medicine Associates PA Emergency Medicine CurrentSince Dec 24, 2013 Accepting new patients
Dewitt Medical District Emergency Medicine Current Accepting new patients
Kern Valley Healthcare District CurrentSince Sep 1, 2024 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince May 5, 2018 Accepting new patients
Dewitt Medical District CurrentSince Nov 24, 2011 Accepting new patients
Freestone Emergency Medicine Associates PA Emergency Medicine Past Accepting new patients
Bellville Medical Center PastSince Aug 6, 2019 Accepting new patients
Southwest Medical Associates, Inc. Emergency Medicine Past Accepting new patients
Cherokee Emergency Medicine Associates PA Emergency Medicine Past Accepting new patients
East Texas Medical Center Healthcare Associates Emergency Medicine Past Accepting new patients
Bellville Hospital District Emergency Medicine Past Accepting new patients
Bonner Emergency Medicine Associates PA Emergency Medicine Past Accepting new patients
Athens Emergency Medicine Associates PA Emergency Medicine Past Accepting new patients
Texas Emergency Room Services PA Emergency Medicine Past Accepting new patients

Locations

1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811

6412 Laurel Ave
Mountain Mesa, CA 93240
Phone (760) 379-2681

2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

2600 N State Highway 118
Alpine, TX 79830
Phone (432) 837-0430

44 N Cummings St
Bellville, TX 77418
Phone (979) 413-7400

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

1100 E Loop 304
Crockett, TX 75835
Phone (936) 546-3862

2550 N Esplanade St
Cuero, TX 77954
Phone (361) 275-0532

1013 S Wells St
Edna, TX 77957
Phone (361) 782-5241

1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281

125 Newman St
Fairfield, TX 75840
Phone (888) 250-2326

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

110 Memorial Hospital Dr
Huntsville, TX 77340
Phone (936) 291-4276

113 W Main St
Kenedy, TX 78119
Phone (830) 583-0612

821 Jeffee Dr
Kermit, TX 79745
Phone (432) 586-2040

10700 McPherson Rd
Laredo, TX 78045
Phone (956) 523-2190

2901 Jaime Zapata Memorial Hwy
Laredo, TX 78043
Phone (956) 718-9000

1300 E Saunders St
Laredo, TX 78041
Phone (956) 815-4470

505 S John Redditt Dr
Lufkin, TX 75904
Phone (713) 512-1200

200 S Interstate 35
Pearsall, TX 78061
Phone (888) 250-2326

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/kernvh-26e64ef3

Organizations & group practices 24

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 24

Hospital & facility affiliations 1

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1710967906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 ROSECRANS ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921061928",
            "telephone_number": "619-790-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 BROADWAY ST",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "783823333",
            "telephone_number": "361-729-0646",
            "fax_number": "361-729-8854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "KRIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A62482",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "L8359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockport, TX

Sources for this page

Verify at the official NPI Registry.