MARK WILLIAM HALL (MD) – Pediatric Critical Care Medicine Physician, NPI 1215929641

MARK WILLIAM HALL (MD) is a healthcare provider. based in Westerville, Ohio. specializing in CRITICAL CARE (INTENSIVISTS), PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 35.081413 (OH). The NPI Number for MARK WILLIAM HALL (MD) is 1215929641

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
MARK WILLIAM HALL (MD)
NPI
1215929641
Phone
(614) 722-4200
Address
455 Executive Campus Dr
Enumeration Date
22 August 2005
Last Update Date
6 May 2026

Doctor Profile

Medical School Name
UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Secondary Phone
6147224579
Graduation Year
1994 (32 years ago)
PAC ID
2062515091
Group Practice PAC ID
2961306774
Professional Enrollment ID
I20070313000309
Address ID
OH432052664CO700XXDRXX300
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Digital endpointsOther names

896 CRITICAL CARE (INTENSIVISTS) in OH

Provider Addresses for MARK WILLIAM HALL (MD)

  • 455 Executive Campus Dr

    Westerville, OH 430828870

    Phone: (614) 722-4200

    Fax: (614) 722-4203

    Type: Location

  • Nationwide Children's Hospital, 700, Children's Drive, Livingston Park, Columbus, Franklin, Ohio, 43205, United States

    COLUMBUS, OH 432052664

    Phone: (614) 722-3437

    Fax: (614) 722-3443

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-03-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070313000309ICritical Care (Intensivists)OHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43082)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961306774View full group profile
NameSpecialtyState
-OH
Critical Care (Intensivists), Pediatric MedicineOH
-OH
Nurse PractitionerOH
Nurse PractitionerOH
-OH
-OH
Pulmonary Disease, Pediatric MedicineOH
-OH
-OH

Reviews

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Frequently asked questions

Can I cross-check MARK WILLIAM HALL (MD) using NPI 1215929641?
NPI 1215929641 belongs to MARK WILLIAM HALL (MD); compare other details if you need extra assurance.
Would MARK WILLIAM HALL (MD) appear as active to a payer?
You can treat MARK WILLIAM HALL (MD) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with MARK WILLIAM HALL (MD)?
MARK WILLIAM HALL (MD)'s record emphasizes Pediatric Critical Care Medicine Physician. Clinical services aligned with this taxonomy classification.
Is MARK WILLIAM HALL (MD) located near Westerville?
MARK WILLIAM HALL (MD) currently maps to Westerville, Ohio in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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