Active NPI
Randall Stanton Hall, D.O.
- Cardiovascular Disease Physician
- Keller, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- L3673
- Practice address
- 601 S Main St Ste 200
Keller, TX 76248-7028 - Phone
- (817) 912-8060
- Fax
- (817) 912-8070
- NPI assigned
- Aug 15, 2005
- 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 |
|---|---|---|---|---|
| Nuclear Cardiology Physician | 207UN0901X | L3673 | TX | |
| Cardiovascular Disease Physician | 207RC0000X | L3673 | TX | Primary |
Addresses
Primary practice location
601 S Main St Ste 200
Keller, TX 76248-7028
Mailing address
601 S Main St Ste 200
Suite 200
Keller, TX 76248-7028
Phone (817) 912-8060
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150872302 | Medicaid | TX | |
| 150872301 | Medicaid | TX | |
| 8CA479 | Other | TX | BCBS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rhall225439@direct.sw.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of North Texas HSC, College of Osteopathic Med, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1400 8TH Ave
Fort Worth, TX 76104-4110
1650 W College St
Grapevine, TX 76051-3565
Phone (817) 388-3440
2020 W Hwy 114
Suite 200
Grapevine, TX 76051-8648
Phone (817) 416-7214
2020 W State Hwy 114 120
Baylor Family Med Ctr Grapevine
Grapevine, TX 76051-8648
Phone (817) 912-8300
3333 Colorado Blvd
Denton, TX 76210-6817
Phone (940) 381-2199
4001 Worth St
Dallas, TX 75246-1608
5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920
6000 W Spring Creek Pkwy
220 Baylor Scott and White Cardiovascular Con
Plano, TX 75024-3578
Phone (469) 800-4400
821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200
Hospital & facility affiliations
- Baylor Scott & White Medical Center Grapevine
- The Heart Hospital Baylor Denton
- Baylor Scott and White All Saints Medical Center
- Baylor Scott & White the Heart Hospital Plano
- Texas Health Harris Methodist Hurst-Euless-Bedford
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L3673 | TX | MD | Nuclear Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Cardiovascular Disease | Current | Accepting new patients |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Past | Accepting new patients |
Locations
5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648
1650 W College St
Grapevine, TX 76051
Phone (817) 329-2523
2020 W State Highway 114
Ste 200
Grapevine, TX 76051
Phone (817) 416-7214
620 S Main St
Ste 240
Keller, TX 76248
Phone (817) 912-8150
601 S Main St
Ste 200
Keller, TX 76248
Phone (682) 549-3311
821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200
Ownership & related parties
All facility ownership & control disclosures 5
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Baylor Scott & White the Heart Hospital - Plano | Hospital | General Partnership Interest | Jan 3, 2024 |
| Texas Health Heart & Vascular Hospital | Hospital | 5% Or Greater Direct Ownership Interest General Partnership Interest |
Jun 6, 2005 Jun 6, 2005 |
| Baylor Scott & White the Heart Hospital - Denton | Hospital | General Partnership Interest | Jan 3, 2024 |
| Baylor Scott & White the Heart Hospital Rehabilitation | Hospital | General Partnership Interest | Nov 1, 2024 |
| Baylor Scott & White the Heart Hospital - Corinth | Hospital | General Partnership Interest | Nov 1, 2024 |
Owned or controlled facilities with NPI records 5
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Special Hospital
- Arlington, TX
- NPI 1407169196
5% Or Greater Direct Ownership Interest, General Partnership Interest
-
- General Acute Care Hospital
- Plano, TX
- NPI 1962504340
General Partnership Interest
-
- Rehabilitation Hospital Unit
- Denton, TX
- NPI 1033938451
General Partnership Interest
-
- General Acute Care Hospital
- Denton, TX
- NPI 1194753590
General Partnership Interest
-
- General Acute Care Hospital
- Denton, TX
- NPI 1669213831
General Partnership Interest
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.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1760488936
Cardiovascular Disease
-
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
- Family Medicine Physician
- Flower Mound, TX
- NPI 1427054402
-
- Family Medicine Physician
- Plano, TX
- NPI 1003811639
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1669472387
-
- General Acute Care Hospital
- Grapevine, TX
- NPI 1073511762
-
- General Acute Care Hospital
- Bedford, TX
- NPI 1104845015
-
- General Acute Care Hospital
- Plano, TX
- NPI 1962504340
-
- General Acute Care Hospital
- Denton, TX
- NPI 1194753590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673395200000",
"number": "1902808439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 S MAIN ST STE 200",
"address_2": "SUITE 200",
"city": "KELLER",
"state": "TX",
"postal_code": "762487028",
"telephone_number": "817-912-8060",
"fax_number": "817-912-8070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 S MAIN ST STE 200",
"city": "KELLER",
"state": "TX",
"postal_code": "762487028",
"telephone_number": "817-912-8060",
"fax_number": "817-912-8070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "RANDALL",
"middle_name": "STANTON",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-15",
"last_updated": "2023-01-11",
"certification_date": "2023-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "TX",
"license": "L3673",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "L3673",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "150872302",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "150872301",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8CA479",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rhall225439@direct.sw.org",
"affiliation": "N",
"address_1": "620 S Main St Ste 240",
"city": "Keller",
"state": "TX",
"country_code": "US",
"postal_code": "762485009",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Keller, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.