NPIMap

Individual provider Active NPI

Duane S. Hall, MEDICAL DOCTOR (MD)

  • Surgery Physician
  • Brooklyn, NY
National Provider Identifier
1851557375
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
232754 Issued in NY
Practice address
555 Rockaway Pkwy
Schulman and Schachne Institute
Brooklyn, NY 11212-3132
Phone
(718) 240-5113
Fax
(516) 640-4893
NPI assigned
Aug 4, 2008
Last updated
Sep 5, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 232754 NY
Surgery Physician 208600000X 232754 NY Primary

Addresses

Primary practice location

555 Rockaway Pkwy
Schulman and Schachne Institute
Brooklyn, NY 11212-3132

Mailing address

6 Bonnie Dr
Westbury, NY 11590-2804
Phone (516) 754-8334

Other identifiers 1

IdentifierTypeStateIssuer
03078159MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081114000415 NY Practitioner - Family PracticePractitioner - Peripheral Vascular DiseasePractitioner - Critical Care (Intensivists) 6901966308 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Critical Care (Intensivists), Peripheral Vascular Disease
Education
State University of New York Downstate Medical Center, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (718) 920-4321

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue56

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Surgery CurrentSince Jun 23, 2020 Accepting new patients
Montefiore Medical Center CurrentSince Jun 23, 2020 Accepting new patients
Dr Jingbo Liu Physician PC Past Accepting new patients
Dr Shih Wang Physician PC Family Medicine PastSince Nov 14, 2009 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: duhall@montefioredirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1851557375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BONNIE DR",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115902804",
            "telephone_number": "516-754-8334",
            "fax_number": "516-640-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 ROCKAWAY PKWY",
            "address_2": "SCHULMAN AND SCHACHNE INSTITUTE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123132",
            "telephone_number": "718-240-5113",
            "fax_number": "516-640-4893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "DUANE",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "MEDICAL DOCTOR (MD)",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-04",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "232754",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "232754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03078159",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.