Individual provider Active NPI

Marvin E. Van Hal, M.D.

  • Orthopaedic Surgery Physician
  • Hurst, TX
National Provider Identifier
1912933631
Registry record updated Jul 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
H9171 Issued in TX
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

Updated by the provider on Jul 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0031DFOtherTXBLUE CROSS BLUE SHIELD
180192000OtherTXDEPARTMENT 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 PartnershipGroup PAC ID 4688582141, shared by 2 NPIs, 208 clinicians

Practice addresses (Care Compare)

6116 Lake Worth Blvd
Suite 100
Lake Worth, TX 76135-3703
Phone (817) 984-3260

Procedures performed for Medicare patients

ProcedureNumber 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

LicenseStateTypeSpecialty
H9171TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imed Physician Network, Inc. Orthopaedic Surgery Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.