Active NPI
Winthrop H Hall Jr., MD
- Otolaryngology Physician
- Novato, CA
National Provider Identifier
1871662437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- C25895
- Practice address
- 165 Rowland Way
Suite 202
Novato, CA 94945-5055 - Phone
- (415) 897-3070
- Fax
- (415) 897-5485
- NPI assigned
- Nov 7, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | C25895 | CA | Primary |
Addresses
Primary practice location
165 Rowland Way
Suite 202
Novato, CA 94945-5055
Mailing address
165 Rowland Way
Suite 202
Novato, CA 94945-5055
Phone (415) 897-3070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C258950 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081115000093 | CA | Practitioner - Otolaryngology | 6103986559 | Practice locations: Novato, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Virginia School of Medicine, 1962
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
165 Rowland Way
Novato, CA 94945-5055
Phone (415) 897-3070
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25895 | CA | MD | Clinical Social Worker |
| C25895 | CA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Hospitals | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Novato, CA
- NPI 1104059153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313625600000",
"number": "1871662437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 ROWLAND WAY",
"address_2": "SUITE 202",
"city": "NOVATO",
"state": "CA",
"postal_code": "949455055",
"telephone_number": "415-897-3070",
"fax_number": "415-897-5485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 ROWLAND WAY",
"address_2": "SUITE 202",
"city": "NOVATO",
"state": "CA",
"postal_code": "949455055",
"telephone_number": "415-897-3070",
"fax_number": "415-897-5485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "WINTHROP",
"middle_name": "H",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2011-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "C25895",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C258950",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Novato, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; 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.