Individual provider Active NPI

Mina Hazem Halim Hanna, MD

  • Neonatal-Perinatal Medicine Physician
  • Lexington, KY
National Provider Identifier
1013125202
Registry record updated Aug 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
45266 Issued in KY
Practice address
800 Rose St # Ms 471
Lexington, KY 40536-0298
Phone
(248) 854-3120
Fax
(859) 323-8031
NPI assigned
May 19, 2007
Last updated
Aug 24, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 45266 KY Primary

Addresses

Primary practice location

800 Rose St # Ms 471
Lexington, KY 40536-0298

Mailing address

800 Rose St # Ms 471
Lexington, KY 40536-0298
Phone (248) 854-3120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20130219000233 KY Practitioner - Pediatric Medicine 5496802514 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45266KYMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Joseph Health System, Inc. Current Accepting new patients
Saint Joseph Health System, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Kentucky Medical Services Foundation, Inc CurrentSince Dec 31, 2012 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Aug 1, 2017 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Aug 1, 2017 Accepting new patients
University of Kentucky Past Accepting new patients
Baptist Healthcare System, Inc Past Accepting new patients

Locations

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

217 Elm Tree Ln
Lexington, KY 40507
Phone (859) 257-8801

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

800 Rose St
#471
Lexington, KY 40536
Phone (248) 854-3120

1001 Saint Joseph Ln
London, KY 40741
Phone (606) 330-6000

Interoperability endpoints

  • Direct secure messaging: mhanna33287@ukhcdirect.org
  • Direct secure messaging: mhanna357644@direct.stlukeshealth.org

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345766400000",
    "number": "1013125202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROSE ST # MS 471",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360298",
            "telephone_number": "248-854-3120",
            "fax_number": "859-323-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROSE ST # MS 471",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360298",
            "telephone_number": "248-854-3120",
            "fax_number": "859-323-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "MINA",
        "middle_name": "HAZEM HALIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-19",
        "last_updated": "2012-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "KY",
            "license": "45266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.