SPENCER AUSTIN HALL MD
NPI 1053013763
Student in an Organized Health Care Education/Training Program in Overland Park, KS

Q: What is Spencer Hall's NPI number?

The NPI number for Spencer Hall is 1053013763. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Q: What is Spencer Hall's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Spencer Hall was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 20, 2023PECOS Enrolled

12200 W 106TH ST STE 325, OVERLAND PARK, KS 66215(913) 498-7004 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Spencer Austin Hall Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPENCER AUSTIN HALL MD (NPI 1053013763) is an individual student in an organized health care education/training program in Overland Park, Kansas and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053013763

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSPENCER AUSTIN HALLCredential: MD

Location Address12200 W 106TH ST STE 325Overland Park, KS 66215-2381

Mailing Address12200 W 106th St Ste 325Overland Park, KS 66215-2381 · (913) 498-7004

Phone(913) 498-7004

Sole ProprietorNo

Enumeration DateMarch 20, 2023

NPPES CertifiedMarch 18, 2023

✔ NPI 1053013763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

12200 W 106TH ST STE 325, Overland Park, KS 66215

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spencer Austin Hall Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSHUA HAN SUNG PAK DO

Internal Medicine