Individual provider Active NPI

Hannah Nikkole Kunz, D.O.

  • Diagnostic Radiology Physician
  • New Haven, CT
National Provider Identifier
1083901516
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
5101019491 Issued in MI
Practice address
333 Cedar St RM CB-30
Yusm - Radiology
New Haven, CT 06510-3206
Phone
(203) 785-5102
NPI assigned
Jul 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 5101019491 MI Primary

Addresses

Primary practice location

333 Cedar St RM CB-30
Yusm - Radiology
New Haven, CT 06510-3206

Mailing address

333 Cedar St RM CB-30
Yusm - Radiology
New Haven, CT 06510-3206
Phone (203) 785-5102

Other names 1

  • Hannah Nikkole Russell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20180103000414 AZ Practitioner - Diagnostic Radiology 3971823998 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians

Practice addresses (Care Compare)

1000 N Humphreys St
Suite 100
Flagstaff, AZ 86001-3124
Phone (928) 223-0200

10440 E Riggs Rd
110 Simonmed Imaging Sun Lakes
Sun Lakes, AZ 85248-7751
Phone (480) 883-6860

10825 W McDowell Rd
110 Simonmed Imaging Avondale Akos
Avondale, AZ 85392-5107
Phone (623) 251-6030

1110 E Missouri Ave
410 Simonmed Imaging Stand Up Open MRI
Phoenix, AZ 85014-2704
Phone (602) 274-4674

1111 S Dobson Rd
105 Simonmed Imaging Mesa Desert
Mesa, AZ 85202-3902
Phone (480) 964-4995

130 S 63Rd St
123 Simonmed Imaging Baywood
Mesa, AZ 85206-1604
Phone (480) 264-4900

13090 N 94TH Dr
103 Simonmed Imaging Plaza del Rio
Peoria, AZ 85381-4257
Phone (623) 234-8770

1313 W Saint Marys Rd
Simonmed Imaging St Marys
Tucson, AZ 85745-3112
Phone (520) 449-8115

1331 N 7TH St
150 Simonmed Imaging Phoenix High Field
Phoenix, AZ 85006-2711
Phone (602) 253-0000

1345 E McKellips Rd
106 Simonmed Imaging McKellips
Mesa, AZ 85203-2721
Phone (480) 265-8101

13555 W McDowell Rd
100 Simonmed Imaging Goodyear
Goodyear, AZ 85395-2624
Phone (623) 213-7690

13624 W Camino del Sol
300 Simonmed Imaging Sun City West
Sun City West, AZ 85375-3402
Phone (623) 214-6609

13657 W McDowell Rd
111 Simonmed Imaging Palm Valley II
Goodyear, AZ 85395-2602
Phone (623) 302-7930

1425 S Greenfield Rd BLDG 2
Mesa, AZ 85206-5505

14823 W Bell Rd
110 Simonmed Imaging Stadium Village
Surprise, AZ 85374-7604
Phone (623) 302-7900

15810 S 45TH St
110 Simonmed Imaging Ahwatukee
Phoenix, AZ 85048-7695
Phone (480) 753-6161

1664 E Florence Blvd
18 Simonmed Imaging Casa Grande
Casa Grande, AZ 85122-4779
Phone (520) 421-4875

1760 E Pecos Rd
101 Simonmed Imaging Rome Towers
Gilbert, AZ 85295-3201
Phone (480) 855-8060

18433 W Santa Irene Dr
Hannah Russell DO
Goodyear, AZ 85338-5329
Phone (480) 306-6949

1845 W Orange Grove Rd
103 Simonmed Imaging Orange Grove
Tucson, AZ 85704-1147
Phone (520) 230-4900

1870 W Frye Rd
3 Simonmed Imaging Dobson II
Chandler, AZ 85224-6233
Phone (480) 264-2350

20414 N 27TH Ave
150 Simonmed Imaging Deer Valley
Phoenix, AZ 85027-3246
Phone (623) 234-2520

2080 W Southern Ave BLDG C
Simonmed Imaging Apache Junction
Apache Junction, AZ 85120-7653
Phone (480) 474-5960

20830 N Tatum Blvd
190 Simonmed Imaging Desert Ridge
Phoenix, AZ 85050-7253
Phone (480) 306-7900

21115 E Rittenhouse Rd
Simonmed Imaging Rittenhouse
Queen Creek, AZ 85142-4838
Phone (480) 371-3491

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Oct 1, 2018 Accepting new patients
Simonmed Reno PLLC Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients

Locations

2080 W Southern Ave
Bldg C
Apache Junction, AZ 85120
Phone (480) 474-5960

818 S Watson Rd
Ste 102
Buckeye, AZ 85326
Phone (623) 302-9080

1664 E Florence Blvd
Ste 18
Casa Grande, AZ 85122
Phone (520) 421-4875

13555 W McDowell Rd
Ste 100
Goodyear, AZ 85395
Phone (623) 213-7690

13657 W McDowell Rd
Ste 111
Goodyear, AZ 85395
Phone (623) 302-7930

9403 W Thunderbird Rd
Peoria, AZ 85381
Phone (623) 234-8700

2830 N 3rd St
Phoenix, AZ 85004
Phone (602) 200-1750

4219 E Bell Rd
Phoenix, AZ 85032
Phone (480) 584-5525

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

790 Gail Gardner Way
Prescott, AZ 86305
Phone (928) 776-9900

3033 N Windsong Dr
Ste 102
Prescott Vly, AZ 86314
Phone (928) 772-5250

36297 N Gantzel Rd
Ste 101
Queen Creek, AZ 85140
Phone (480) 809-4400

6900 E Camelback Rd
Ste 700
Scottsdale, AZ 85251
Phone (602) 651-1945

10440 E Riggs Rd
Ste 110
Sun Lakes, AZ 85248
Phone (480) 883-6860

1845 W Orange Grove Rd
Ste 103
Tucson, AZ 85704
Phone (520) 230-4900

1313 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 449-8115

861 Coronado Center Dr
Ste 101
Henderson, NV 89052
Phone (702) 260-2120

7540 Oso Blanca Rd
Ste 140
Las Vegas, NV 89149
Phone (702) 460-1375

3560 E Flamingo Rd
Ste 100
Las Vegas, NV 89121
Phone (702) 343-3610

7455 W Washington Ave
Ste 120
Las Vegas, NV 89128
Phone (702) 433-6455

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1083901516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 CEDAR ST RM CB-30",
            "address_2": "YUSM - RADIOLOGY",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103206",
            "telephone_number": "203-785-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 CEDAR ST RM CB-30",
            "address_2": "YUSM - RADIOLOGY",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103206",
            "telephone_number": "203-785-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNZ",
        "first_name": "HANNAH",
        "middle_name": "NIKKOLE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-05",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "5101019491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "RUSSELL",
            "middle_name": "NIKKOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.