NPIMap

Individual provider Active NPI

Elhami N Hannan, MD

  • Nephrology Physician
  • Richland, WA
National Provider Identifier
1093803884
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD00042562 Issued in WA
Practice address
900 Stevens Dr, First Floor
Kadlec Clinic Nephrology
Richland, WA 99352
Phone
(509) 942-3163
Fax
(509) 943-5922
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2004029821 MO
Internal Medicine Physician 207R00000X MD00042562 WA
Nephrology Physician 207RN0300X MD00042562 WA Primary

Addresses

Primary practice location

900 Stevens Dr, First Floor
Kadlec Clinic Nephrology
Richland, WA 99352

Mailing address

560 Gage Blvd
Ste 203
Richland, WA 99352
Phone (509) 942-3627

Other identifiers 2

IdentifierTypeStateIssuer
0226114OtherWASTATE L&I
208352708MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060321000259 WA Practitioner - NephrologyPractitioner - Internal Medicine 9638124100 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kadlec Regional Medical CenterGroup PAC ID 9739098617, 402 clinicians

Practice addresses (Care Compare)

1100 Goethals Dr
Suite F
Richland, WA 99352-3301
Phone (509) 942-3272

200 Prosser Health Dr
Prosser, WA 99350-7832
Phone (509) 788-6022

336 Chardonnay Ave
Prosser, WA 99350-9515

723 Memorial St
Prosser, WA 99350-1524
Phone 50978655995599

723 Memorial St
Prosser, WA 99350-1593

820 Memorial St
Suite 3
Prosser, WA 99350-2504
Phone 50978655995599

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2004029821MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kadlec Regional Medical Center CurrentSince Jul 15, 2016 Accepting new patients
Providence Health & Services Washington CurrentSince Nov 1, 2016 Accepting new patients
Prosser Public Hospital District of Benton County Current Accepting new patients
Providence Health & Services Washington CurrentSince Jan 1, 2018 Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince Jul 26, 2017 Accepting new patients
Providence Health & Services Washington Internal Medicine CurrentSince Jan 1, 2018 Accepting new patients
Kadlec Regional Medical Center Internal Medicine Current Accepting new patients
Kadlec Regional Medical Center CurrentSince Jul 15, 2016 Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince Jul 26, 2017 Accepting new patients
RCCH Trios Health LLC Internal Medicine CurrentSince Aug 1, 2018 Accepting new patients

Locations

1105 Dale Ave
Benton City, WA 99320
Phone (509) 588-4075

914 S Scheuber Rd
Centralia, WA 98531
Phone (360) 330-8516

1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701

510 N Colorado St
Ste A
Kennewick, WA 99336
Phone (509) 735-6689

3730 Plaza Way
Kennewick, WA 99338
Phone (509) 221-6350

216 W 10th Ave
Ste 204
Kennewick, WA 99336
Phone (509) 221-5520

3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000

525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

900 Stevens Dr
Ste 101
Richland, WA 99352
Phone (509) 942-3180

560 Gage Blvd
Ste 203
Richland, WA 99352
Phone (509) 942-3135

1135 Jadwin Ave
Richland, WA 99352
Phone (509) 942-3300

900 Stevens Dr
Fl First
Richland, WA 99352
Phone (509) 942-3163

1100 Goethals Dr
Ste F
Richland, WA 99352
Phone (509) 942-3272

101 W 8th Ave
Spokane, WA 99204
Phone (509) 474-3181

Organizations & group practices 10

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1093803884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 GAGE BLVD",
            "address_2": "STE 203",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "99352",
            "telephone_number": "509-942-3627",
            "fax_number": "509-943-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 STEVENS DR, FIRST FLOOR",
            "address_2": "KADLEC CLINIC NEPHROLOGY",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "99352",
            "telephone_number": "509-942-3163",
            "fax_number": "509-943-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNAN",
        "first_name": "ELHAMI",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2004029821",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00042562",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "MD00042562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE L&I",
            "identifier": "0226114",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208352708",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.