Individual provider Active NPI

Rebecca Ross Hall, M.D., C.M.

  • Dermatology Physician
  • Stamford, CT
National Provider Identifier
1992970354
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
050669 Issued in CT
Practice address
1290 Summer St
Stamford, CT 06905-5360
Phone
(203) 325-3576
Fax
(203) 325-4280
NPI assigned
Apr 28, 2008
Last updated
Mar 17, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 050669 CT Primary

Addresses

Primary practice location

1290 Summer St
Stamford, CT 06905-5360

Mailing address

1290 Summer St
Stamford, CT 06905-5360
Phone (203) 325-3576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20120718000003 CT Practitioner - Dermatology 6507022605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
McGill University Faculty of Dentistry, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Dermatology Center of Stamford LLCGroup PAC ID 5294629267, 4 clinicians

Practice addresses (Care Compare)

1290 Summer St
Suite 3600
Stamford, CT 06905-5325
Phone (203) 325-3576

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions643
Skin biopsy367

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
050669CTMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Center of Stamford, LLC CurrentSince May 1, 2015 Accepting new patients
Advanced Audiology & Hearing Aid Services Past Accepting new patients

Locations

1290 Summer St
Ste 3600
Stamford, CT 06905
Phone (203) 325-3576

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.

Hospital & facility affiliations 1

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": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1992970354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 SUMMER ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055360",
            "telephone_number": "203-325-3576",
            "fax_number": "203-325-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 SUMMER ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055360",
            "telephone_number": "203-325-3576",
            "fax_number": "203-325-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "REBECCA",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "M.D., C.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CT",
            "license": "050669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.