Robert W Haller, MD
Individual provider Active NPI Diagnostic Radiology Physician · Green Bay, WI
NPI 1952339814 · NPPES record last updated May 20, 2025
Key facts
- NPI
- 1952339814
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 44444-20 (WI)
- Practice address
- 2845 Greenbrier Rd
Green Bay, WI 54311-6519 - Phone
- (920) 288-4930
- Fax
- (920) 288-4941
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 28
Hospital & facility affiliations 14
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- University of Wisconsin School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St. Nicholas Hospital-Sisters of the Third Order of St Francis
GBR Sheboygan LLC
Radiology Associates of the Fox Valley SC
St Vincent Hospital-Hospital Sisters-Third Order of St Francis
Green Bay Radiology SC
Practice addresses (Care Compare)
1411 N Taylor Dr
Sheboygan, WI 53081-3043
Phone (920) 457-4858
3100 Superior Ave
Sheboygan, WI 53081-1948
Phone (800) 472-6710
3113 Saemann Ave
Sheboygan, WI 53081-1957
Phone (920) 496-4700
333 N Commercial St
Suite 100
Neenah, WI 54956-2675
Phone (920) 722-1840
835 S Van Buren St
Green Bay, WI 54301-3526
Phone (920) 496-4700
950 Woodlake Rd
Kohler, WI 53044-1348
Phone (920) 783-3150
Hospital & facility affiliations
- St Vincent Hospital
- St Nicholas Hospital
- St Marys Hospital Medical Ctr
- Door County Medical Center
- HSHS St Clare Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.93 of 100
- Quality
- 86.81
- Improvement activities
- 40
- Cost
- 77.34
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.81 of 100
- Quality
- 85.98
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.81 of 100
- Quality
- 85.98
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040913000803 | WI | Practitioner - Diagnostic Radiology | 5294702981 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44444 | WI | MD | Body Imaging Physician |
Practice roles
Locations
1515 Park Ave
Columbus, WI 53925
Phone (920) 623-1200
835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246
700 S Park St
Madison, WI 53715
Phone (608) 260-2900
333 N Commercial St
Ste 100
Neenah, WI 54956
Phone (920) 722-1750
3100 Superior Ave
Sheboygan, WI 53081
Phone (800) 472-6710
900 Ridge St
Stoughton, WI 53589
Phone (608) 231-3410
800 Riverside Dr
Waupaca, WI 54981
Phone (715) 258-1000
Interoperability endpoints
- rhaller446979@ewd.direct.hshs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 44444-20 | WI | Yes |
| Body Imaging Physician | 2085B0100X | 44444 | WI |
Addresses
Primary practice location
2845 Greenbrier Rd
Green Bay, WI 54311-6519
Mailing address
2845 Greenbrier Rd
PO Box 8900
Green Bay, WI 54308-8900
Phone (920) 288-4930
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34217800 | Medicaid | WI | |
| 300129574 | Other | WI | RAILROAD |
| 104395500 | Medicaid | MI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rhaller446979@ewd.direct.hshs.org | Direct | St Vincent Hospital-Hospital Sisters-Third Order of St Francis |
Other providers in Green Bay, WI
- Ashley M Hall
- Maggie Hall
- Devyn Raylee Halla
- Matthew Hallam
- Amanda Rose Hallas Huff
- Brooke Hallet
- Thomas Joseph Halloin
- Eric J Hallquist
- Steven Alan Halsey
- Kristen Ashley Haltom
All providers in Green Bay, WI · Diagnostic Radiology Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.