Individual provider Active NPI

Peter Hanna, MD

  • Cardiovascular Disease Physician
  • Newark, DE
National Provider Identifier
1104359637
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
C1-0027017 Issued in DE
Practice address
4755 Ogletown Stanton Rd Ste 1070
Newark, DE 19718-1642
Phone
(302) 733-1663
Fax
(302) 733-4533
NPI assigned
Apr 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C1-0027017 DE
Internal Medicine Physician 207R00000X D0100180 MD
Cardiovascular Disease Physician 207RC0000X D0100180 MD
Cardiovascular Disease Physician 207RC0000X C1-0027017 DE Primary

Addresses

Primary practice location

4755 Ogletown Stanton Rd Ste 1070
Newark, DE 19718-1642

Mailing address

110 S Paca St FL 7
Baltimore, MD 21201-1642
Phone (410) 328-7877

Other practice location 1

110 S Paca St Fl 7
Baltimore, MD 21201-1642
Phone (410) 328-7877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240724004398 MD Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 3274079330 Reassigns benefits to 1 organization
I20240816001655 DE Practitioner - Cardiovascular Disease (Cardiology) 3274079330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
University of South Florida College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Hospital of Cecil CountyGroup PAC ID 6901719822, 281 clinicians
Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians

Practice addresses (Care Compare)

106 Bow St
Elkton, MD 21921-5544
Phone (410) 398-4000

4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 733-1663

Hospital & facility affiliations

  • Christiana Hospital Hospital, Newark, DE, CCN 080001
  • Union Hospital of Cecil County Hospital, Elkton, MD, CCN 210032

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hospital of Cecil County Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Christiana Care Health Services Inc CurrentSince Aug 5, 2024 Accepting new patients
Christiana Care Health Services, Inc Cardiovascular Disease CurrentSince Aug 5, 2024 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services, Inc. Past Accepting new patients
University of Maryland Physicians P.a. PastSince Apr 5, 2020 Accepting new patients

Locations

4755 Ogletown Stanton Rd
Ste 1070
Newark, DE 19718
Phone (302) 733-1663

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

3521 Silverside Rd
Ste 1C
Wilmington, DE 19810
Phone (302) 368-3007

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

207 North St
Ste A
Elkton, MD 21921

111 W High St
Ste 204
Elkton, MD 21921
Phone (410) 392-3007

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

Interoperability endpoints

  • Direct secure messaging: phanna24337@direct.vumc.org

Organizations & group practices 6

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 2

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": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1104359637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S PACA ST FL 7",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011642",
            "telephone_number": "410-328-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN STANTON RD STE 1070",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197181642",
            "telephone_number": "302-733-1663",
            "fax_number": "302-733-4533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 S Paca St Fl 7",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011642",
            "country_code": "US",
            "telephone_number": "410-328-7877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNA",
        "first_name": "PETER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-11",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C1-0027017",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0100180",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0100180",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "DE",
            "license": "C1-0027017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.