Individual provider Active NPI

Rod Hall, DO

  • Family Medicine Physician
  • Soldotna, AK
National Provider Identifier
1750322749
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4349 Issued in AK
Practice address
35911 Kenai Spur Hwy Ste 6
Soldotna, AK 99669-7155
Phone
(907) 260-7729
Fax
(907) 260-7783
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Family Medicine) Physician 207QA0000X 4349 AK
Addiction Medicine (Family Medicine) Physician 207QA0401X 4349 AK
Adult Medicine Physician 207QA0505X 4349 AK
Obesity Medicine (Family Medicine) Physician 207QB0002X 4349 AK
Sports Medicine (Family Medicine) Physician 207QS0010X 4349 AK
General Practice Physician 208D00000X 4349 AK
Family Medicine Physician 207Q00000X 4349 AK Primary

Addresses

Primary practice location

35911 Kenai Spur Hwy Ste 6
Soldotna, AK 99669-7155

Mailing address

35911 Kenai Spur Hwy Ste 6
Soldotna, AK 99669-7155
Phone (907) 260-7729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 14, 2019 through Jan 14, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4349AKMDAddiction Medicine (Family Medicine) Physician
4332AZMDPhysical Rehabilitation Occupational Therapist
297NEMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Spine Clinic LLC Past Accepting new patients
Health North Family Medicine LLC Family Medicine PastSince Jun 1, 2010 Accepting new patients
The Rejuvenation Center of Chandler Past Accepting new patients
Mercy Medical Center-Centerville Past Accepting new patients

Organizations & group practices 4

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1750322749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35911 KENAI SPUR HWY STE 6",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697155",
            "telephone_number": "907-260-7729",
            "fax_number": "907-260-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35911 KENAI SPUR HWY STE 6",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697155",
            "telephone_number": "907-260-7729",
            "fax_number": "907-260-7783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "ROD",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "AK",
            "license": "4349",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "AK",
            "license": "4349",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "AK",
            "license": "4349",
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "AK",
            "license": "4349",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "AK",
            "license": "4349",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AK",
            "license": "4349",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "4349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Soldotna, AK

Sources for this page

Verify at the official NPI Registry.