Ahmad Taha Hannan, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

AH040166 Issued in MI

Practice address

11041 Hensell Rd
Holly, MI 48442-8054

Phone

(810) 656-2208

NPI assigned

Aug 31, 2006

Last updated

Mar 20, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4

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.

• Genesee Lung Associates PC

  • Pulmonary Disease Physician
  • Grand Blanc, MI
  • NPI 1922110477
  Medicare reassignment NPD
• Henry Ford Health Genesys Hospital

  dba Downtown Health Center-Podiatry

  • Podiatrist
  • Flint, MI
  • NPI 1528283033
  Medicare reassignment NPD
• Ascension Genesys Hospital

  dba Ascension Genesys Short Term Rehabilitation Center

  • Skilled Nursing Facility
  • Grand Blanc, MI
  • NPI 1093125312
  NPD
• Henry Ford Health Genesys Hospital

  dba Genesys Downtown IM

  • Internal Medicine Physician
  • Flint, MI
  • NPI 1467493213
  NPD
• Wellness Care Services LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Holly, MI
  • NPI 1508550583
  NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1104938638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11041 HENSELL RD",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484428054",
            "telephone_number": "810-656-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11041 HENSELL RD",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484428054",
            "telephone_number": "810-656-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNAN",
        "first_name": "AHMAD",
        "middle_name": "TAHA",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "AH040166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2126558",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Halick, LMSW
• Hands-on Healing
• Olivia H Hankey, PA-C
• Linda C Hanlin, OT
• Angela Marie Hanna, NP
• Michelle Lynn Harvey, RN
• Health Quest, Inc.
• Alissa Sierra Hect
• Heather Hepper, PT, DPT
• Abigail Anne Hereau, PT, DPT, ATC

• Pulmonary Disease Physician in Holly, MI
• Providers in Holly, MI by specialty
• Pulmonary Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.