Individual provider Active NPI

Lisa Marie Hall, M.D.

  • Internal Medicine Physician
  • Shelby Township, MI
National Provider Identifier
1992864417
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301074129 Issued in MI
Practice address
52915 Mound Road
Shelby Township, MI 48316-3266
Phone
(586) 992-2400
Fax
(586) 992-8206
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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 4301074129 MI Primary

Addresses

Primary practice location

52915 Mound Road
Shelby Township, MI 48316-3266

Mailing address

52915 Mound Road
Shelby Township, MI 48316-3266
Phone (586) 992-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040223000200 MI Practitioner - Internal Medicine 8820984438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

52930 Mound Rd
Shelby Township, MI 48316-3265
Phone (586) 992-2400

Hospital & facility affiliations

  • Beaumont Home Health Home health agency, Troy, MI, CCN 237112
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047
  • Ascension Providence Rochester Hospital Hospital, Rochester, MI, CCN 230254
  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301074129MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hanselman Family Chiropractic, LLC CurrentSince Mar 19, 2007 Accepting new patients
Stony Creek Internal Medicine PLC Internal Medicine CurrentSince Nov 27, 2002 Accepting new patients

Locations

52915 Mound Rd
Shelby Township, MI 48316
Phone (586) 210-3200

52930 Mound Rd
Shelby Township, MI 48316
Phone (586) 323-2384

Interoperability endpoints

  • Direct secure messaging: lhall1131131@direct.hfhs.org

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1992864417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52915 MOUND ROAD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483163266",
            "telephone_number": "586-992-2400",
            "fax_number": "586-992-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52915 MOUND ROAD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483163266",
            "telephone_number": "586-992-2400",
            "fax_number": "586-992-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301074129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

Verify at the official NPI Registry.