Active NPI
Marvin E. Van Hal, M.D.
- Orthopaedic Surgery Physician
- Hurst, TX
National Provider Identifier
1912933631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- H9171
- Practice address
- 729 W Bedford Euless Rd
Suite 106
Hurst, TX 76053-3939 - Phone
- (817) 282-1012
- Fax
- (817) 282-1015
- NPI assigned
- Jun 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | H9171 | TX | Primary |
Addresses
Primary practice location
729 W Bedford Euless Rd
Suite 106
Hurst, TX 76053-3939
Mailing address
729 W Bedford Euless Rd
Suite 106
Hurst, TX 76053-3939
Phone (817) 282-1012
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0031DF | Other | TX | BLUE CROSS BLUE SHIELD |
| 180192000 | Other | TX | DEPARTMENT OF LABOR |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111024000250 | TX | Practitioner - Orthopedic Surgery | 0749255297 | Practice locations: Dallas, TX; Hurst, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Green Oaks Physical Therapy Limited Partnership
Practice addresses (Care Compare)
6116 Lake Worth Blvd
Suite 100
Lake Worth, TX 76135-3703
Phone (817) 984-3260
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H9171 | TX | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imed Physician Network, Inc. | Orthopaedic Surgery | Past | Accepting new patients |
Interoperability endpoints
- dmcmvanha@yourcarecommunity.org
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 and National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Lancaster, TX
- NPI 1063809465
Orthopaedic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342396800000",
"number": "1912933631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "729 W BEDFORD EULESS RD",
"address_2": "SUITE 106",
"city": "HURST",
"state": "TX",
"postal_code": "760533939",
"telephone_number": "817-282-1012",
"fax_number": "817-282-1015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "729 W BEDFORD EULESS RD",
"address_2": "SUITE 106",
"city": "HURST",
"state": "TX",
"postal_code": "760533939",
"telephone_number": "817-282-1012",
"fax_number": "817-282-1015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN HAL",
"first_name": "MARVIN",
"middle_name": "E.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-24",
"last_updated": "2012-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "H9171",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0031DF",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF LABOR",
"identifier": "180192000",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hurst, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; 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.