Active NPI
Trevor Wilson Halle, M.D.
- Emergency Medicine Physician
- Pueblo, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- DR.0061923
- Practice address
- 1008 Minnequa Ave
Pueblo, CO 81004-3733 - Phone
- (925) 699-2283
- NPI assigned
- May 6, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | DR.0061923 | CO | Primary |
Addresses
Primary practice location
1008 Minnequa Ave
Pueblo, CO 81004-3733
Mailing address
2530 W Colorado Ave
Colorado Springs, CO 80904-3023
Phone (925) 699-2283
Other practice location 1
601 Elmwood Ave
Box 655
Rochester, NY 14642-0001
Phone (585) 463-2940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, MD, CA, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Pennsylvania State University College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3280 S Wadsworth Blvd
Lakewood, CO 80227-5002
Phone (303) 649-3620
7000 E Hampden Ave
Denver, CO 80224-3012
Phone (330) 925-4199
Hospital & facility affiliations
- Centura Health-St Anthony North Health Campus
- Centura Health-St Anthony Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.65 of 100
- Quality
- 86.65
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.85 of 100
- Quality
- 91.15
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.6 of 100
- Quality
- 76.36
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vep Hutchinson Emergency Medical Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Usacs Observation Medicine Services of Colorado Inc. | Current | Accepting new patients | |
| Vallejo Emergency Physicians Medical Group Inc. | Emergency Medicine | Current | Accepting new patients |
| Usacs Community Emergency Services of Colorado, Inc. | Emergency Medicine | Current | Accepting new patients |
| Mount Eddy Emergency Physicians Medical Group, Inc. | Emergency Medicine | Current | Accepting new patients |
| Usacs Community Emergency Services of Colorado, Inc. | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Associates P.a., P.C. | Emergency Medicine | Current | Accepting new patients |
| Premier Emergency Services, Inc | Emergency Medicine | Current | Accepting new patients |
| Usacs of Colorado Inc | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Associates P.a., P.C. | Current | Accepting new patients | |
| Usacs Observation Medicine Services of Colorado Inc. | Emergency Medicine | Current | Accepting new patients |
| Usacs Observation Medicine Services of Colorado Inc. | Emergency Medicine | Current | Accepting new patients |
| Usacs of Colorado, Inc | Emergency Medicine | Current | Accepting new patients |
| Victory Emergency Physicians Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Premier Emergency Services, Inc | Emergency Medicine | Current | Accepting new patients |
| Usacs of Colorado Inc | Emergency Medicine | Current | Accepting new patients |
| Mep Health, LLC | Emergency Medicine | Current | Accepting new patients |
| Golden State Emergency Physicians Inc | Emergency Medicine | Current | Accepting new patients |
| Usacs of Colorado Inc | Emergency Medicine | Past | Accepting new patients |
Locations
1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781
1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555
914 Pine St
Mount Shasta, CA 96067
Phone (503) 926-6111
300 Hospital Dr
Vallejo, CA 94589
Phone (707) 554-4107
7000 E Hampden Ave
Denver, CO 80224
Phone (330) 925-4199
11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010
7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786
1008 Minnequa Ave
Pueblo, CO 81004
Phone (719) 557-5656
2551 W 84th Ave
Westminster, CO 80031
Phone (303) 202-1280
401 E Spruce St
Garden City, KS 67846
Phone (620) 272-2222
1701 E 23rd Ave
Hutchinson, KS 67502
Phone (620) 665-2117
12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255
200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000
Organizations & group practices 19
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.
-
- Emergency Medicine Physician
- Arvada, CO
- NPI 1053824979
-
- Emergency Medicine Physician
- Westminster, CO
- NPI 1457755688
-
- Emergency Medicine Physician
- Lakewood, CO
- NPI 1518491232
-
- Emergency Medicine Physician
- Littleton, CO
- NPI 1760415871
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1134117393
MD
-
- Emergency Medicine Physician
- Los Angeles, CA
- NPI 1770886558
-
- Emergency Medicine Physician
- Rockville, MD
- NPI 1164483558
-
- Emergency Medicine Physician
- Mount Shasta, CA
- NPI 1316299787
-
- Emergency Medicine Physician
- Garden City, KS
- NPI 1760018253
-
- Emergency Medicine Physician
- Vallejo, CA
- NPI 1083916373
-
- Emergency Medicine Physician
- Hutchinson, KS
- NPI 1669879110
-
- Emergency Medicine Physician
- Los Angeles, CA
- NPI 1932402716
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Westminster, CO
- NPI 1619985942
-
- General Acute Care Hospital
- Westminster, CO
- NPI 1013557545
-
- Emergency Care Clinic/Center
- Westminster, CO
- NPI 1093355604
Hospital
-
- General Acute Care Hospital
- Lakewood, CO
- NPI 1104466630
-
- General Acute Care Hospital
- Lakewood, CO
- NPI 1164430567
-
- General Acute Care Hospital
- Westminster, CO
- NPI 1568002095
-
- General Acute Care Hospital
- Lakewood, CO
- NPI 1740820273
-
- General Acute Care Hospital
- Westminster, CO
- NPI 1831739440
-
- General Acute Care Hospital
- Westminster, CO
- NPI 1912547449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562716800000",
"number": "1750737862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2530 W COLORADO AVE",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809043023",
"telephone_number": "925-699-2283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1008 MINNEQUA AVE",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810043733",
"telephone_number": "925-699-2283"
}
],
"practiceLocations": [
{
"address_1": "601 Elmwood Ave",
"address_2": "Box 655",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146420001",
"country_code": "US",
"telephone_number": "585-463-2940",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALLE",
"first_name": "TREVOR",
"middle_name": "WILSON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-06",
"last_updated": "2019-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CO",
"license": "DR.0061923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.