Active NPI
Robert Dean Hanna, P.A.
- Physician Assistant
- Ardmore, OK
National Provider Identifier
1083601868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 947
- Practice address
- 1505 N Commerce St
Ste 203
Ardmore, OK 73401-1859 - Phone
- (580) 223-6555
- Fax
- (580) 226-4617
- NPI assigned
- Oct 5, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 947 | OK | Primary |
Addresses
Primary practice location
1505 N Commerce St
Ste 203
Ardmore, OK 73401-1859
Mailing address
7800 NW 85TH Ter
Oklahoma City, OK 73132-3385
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100198770A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1505 N Commerce St
Suite 203
Ardmore, OK 73401-1859
Phone (580) 223-6555
4050 W Memorial Rd
Oklahoma City, OK 73120-8382
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.69 of 100
- Quality
- 73.03
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- rhanna21760@direct.okheart.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Oklahoma City, OK
- NPI 1023087772
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Sulphur, OK
- NPI 1700869492
-
- General Acute Care Hospital
- Ardmore, OK
- NPI 1386741635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666742400000",
"number": "1083601868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7800 NW 85TH TER",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731323385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 N COMMERCE ST",
"address_2": "STE 203",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734011859",
"telephone_number": "580-223-6555",
"fax_number": "580-226-4617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNA",
"first_name": "ROBERT",
"middle_name": "DEAN",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-05",
"last_updated": "2022-10-26",
"certification_date": "2022-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "947",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100198770A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ardmore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.