Individual provider Active NPI

Stephen E Hall, MD

  • Anesthesiology Physician
  • Elwood, IN
National Provider Identifier
1962423780
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01037054A Issued in IN
Practice address
1331 S a St
Elwood, IN 46036
Phone
(765) 552-4838
NPI assigned
Jul 21, 2006
Last updated
Mar 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01037054A IN Primary

Addresses

Primary practice location

1331 S a St
Elwood, IN 46036

Mailing address

8051 S Emerson Ave Ste 200
Indianapolis, IN 46237-8632
Phone (317) 865-2955

Other practice location 1

8051 S Emerson Ave Ste 200
Indianapolis, IN 46237-8632
Phone (317) 865-2955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20070711000278 IN Practitioner - Anesthesiology 0042114811 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01037054AINMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverview Anesthesiologists, PC Anesthesiology PastSince Jun 18, 2023 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1962423780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8051 S EMERSON AVE STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378632",
            "telephone_number": "317-865-2955",
            "fax_number": "317-859-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 S A ST",
            "city": "ELWOOD",
            "state": "IN",
            "postal_code": "46036",
            "telephone_number": "765-552-4838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8051 S Emerson Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462378632",
            "country_code": "US",
            "telephone_number": "317-865-2955",
            "fax_number": "317-859-2701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "STEPHEN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01037054A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elwood, IN

Sources for this page

Verify at the official NPI Registry.