Individual provider Active NPI

Scott Hall, M.D.

  • Internal Medicine Physician
  • Fort Lauderdale, FL
National Provider Identifier
1972578219
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME77622 Issued in FL
Practice address
6405 N Federal Hwy
205
Fort Lauderdale, FL 33308-1412
Phone
(954) 772-2411
Fax
(954) 772-3766
NPI assigned
Feb 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME77622 FL Primary

Addresses

Primary practice location

6405 N Federal Hwy
205
Fort Lauderdale, FL 33308-1412

Mailing address

6405 N Federal Hwy
205
Fort Lauderdale, FL 33308-1412
Phone (954) 772-2411

Other identifiers 1

IdentifierTypeStateIssuer
257268100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040629001075 FL Practitioner - Internal Medicine 6507842507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio State University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifeway IncGroup PAC ID 6406863034, 2 clinicians

Practice addresses (Care Compare)

5333 N Dixie Hwy
Suite 110
Ft. Lauderdale, FL 33334-3453
Phone (954) 772-8554

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeway Inc Internal Medicine CurrentSince Aug 15, 2016 Accepting new patients
Yvonne R S Sherrer MD PA PastSince Aug 15, 2016 Accepting new patients
Florida Department of Health Past Accepting new patients

Locations

5333 N Dixie Hwy
Ste 110
Oakland Park, FL 33334
Phone (954) 229-7030

Interoperability endpoints

  • Direct secure messaging: drhall@li-fl.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1972578219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 N FEDERAL HWY",
            "address_2": "205",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081412",
            "telephone_number": "954-772-2411",
            "fax_number": "954-772-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 N FEDERAL HWY",
            "address_2": "205",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081412",
            "telephone_number": "954-772-2411",
            "fax_number": "954-772-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME77622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257268100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.