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DR. KENETH NEWTON HALL M.D.
NPI 1730337627
Surgery in Mineola, NY

Active since September 04, 2008PECOS EnrolledAccepts Medicare Assignment
120 MINEOLA BLVD, SUITE 320, MINEOLA, NY 11501(516) 663-3300(516) 663-2780 Get Directions Write a Review

NPPES record last updated: February 5, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Keneth Newton Hall M.d. NPPES

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

DR. KENETH NEWTON HALL M.D. (NPI 1730337627) is an individual surgery provider in Mineola, New York, licensed in New York (262710) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and is a graduate of Howard University College Of Medicine (2005).

NPPES Registry Identity

NPI1730337627
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. KENETH NEWTON HALLCredential: M.D.
Location Address120 MINEOLA BLVD, SUITE 320Mineola, NY 11501-4064
Mailing Address120 Mineola Blvd, Suite 320Mineola, NY 11501-4064 · (516) 663-3300 · Fax (516) 663-2780
Phone(516) 663-3300
Fax(516) 663-2780
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 2005
Enumeration DateSeptember 4, 2008
Last NPPES UpdateFebruary 5, 2014
✔ NPI 1730337627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 262710
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License 262710 (NY)
120 MINEOLA BLVD, Mineola, NY 11501
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Keneth Newton Hall M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274700869
PECOS Enrollment IDI20120123000588
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Keneth Hall reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rome Memorial Hospital, Inc
192 mi
Family Medicine
5218 PATRICK RD STE 201
Verona, NY 13478
  • Reassigned Medicare billing, New York enrollment
  • 52 clinicians in this Medicare group
NPI 1396680435 (315) 356-7827
New York University
1,045 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
50 services33 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
36 services15 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services13 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wynn Hospital

Acute Care Hospitals · Utica, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330044
Location111 Hospital DriveUtica, NY 13502 · Oneida County
Emergency services Birthing friendly

Rome Memorial Hospital, Inc

Acute Care Hospitals · Rome, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330215
Location1500 North James StreetRome, NY 13440 · Oneida County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MS. MARINA PAVLOVIC NP-C
Nurse Practitioner (Family)
120 MINEOLA BLVD
MINEOLA, NY 11501
Nassau County (516) 663-3000
JOSEPH CIOFFI
Obstetrics & Gynecology
120 MINEOLA BLVD, SUITE 100
MINEOLA, NY 11501
Nassau County (516) 663-3010
DR. JOSEPH PATRICK MAZZIE D.O.
Radiology (Diagnostic Radiology)
120 MINEOLA BLVD, SUITE 10 LOWER LEVEL
MINEOLA, NY 11501
Nassau County (516) 663-4510
PENNY EISENBERG LMSW
Social Worker
120 MINEOLA BLVD, SUITE 100
MINEOLA, NY 11501
Nassau County (516) 663-3010
WINTHROP FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORPOR
Thoracic Surgery (Cardiothoracic Vascular Surgery)
120 MINEOLA BLVD, SUITE 300
MINEOLA, NY 11501
Nassau County (516) 663-4400
DR. WENDY BALOPOLE M.D.
Internal Medicine (Medical Oncology)
120 MINEOLA BLVD, SUITE 430
MINEOLA, NY 11501
Nassau County (516) 742-5353
ANCA-OANA KRANZ MD
Radiology (Diagnostic Radiology)
120 MINEOLA BLVD, SUITE 10 LOWER LEVEL
MINEOLA, NY 11501
Nassau County (516) 663-4510
DR. HYE IN PARK M.D.
Obstetrics & Gynecology
120 MINEOLA BLVD
MINEOLA, NY 11501
Nassau County (646) 457-8851

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keneth Hall's NPI number?

The NPI number for Keneth Hall is 1730337627. It was assigned to this individual provider in the NPPES registry on September 4, 2008.

Where is Keneth Hall located?

Keneth Hall practices at 120 Mineola Blvd Suite 320, Mineola, NY 11501. The listed phone number is (516) 663-3300.

What is Keneth Hall's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Keneth Hall enrolled in Medicare?

Yes. Keneth Hall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Keneth Hall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keneth Hall reassigns Medicare benefits to 2 organizations: Rome Memorial Hospital, Inc (Verona, NY) and New York University (Boynton Beach, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keneth Hall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Keneth Hall affiliated with any hospitals?

According to CMS data, Keneth Hall is affiliated with Wynn Hospital and Rome Memorial Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Keneth Hall was last updated on February 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.