Individual provider Active NPI

Hannah-Ngoc T Ha, M.D.

  • Colon & Rectal Surgery Physician
  • Creve Coeur, MO
National Provider Identifier
1144223355
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
2001028190 Issued in MO
Practice address
12401 Olive Blvd Ste 202
Creve Coeur, MO 63141-5448
Phone
(314) 834-2888
Fax
(314) 834-5212
NPI assigned
May 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2001028190 MO
Colon & Rectal Surgery Physician 208C00000X 2001028190 MO Primary

Addresses

Primary practice location

12401 Olive Blvd Ste 202
Creve Coeur, MO 63141-5448

Mailing address

12401 Olive Blvd Ste 202
Creve Coeur, MO 63141-5448
Phone (314) 834-2888

Other practice location 1

226 S Woods Mill Rd
Suite 49W
Chesterfield, MO 63017-3662
Phone (314) 434-1211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20070404000023 MO Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology) 5799889556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Colorectal Surgery (Proctology)
Education
Georgetown University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12401 Olive Blvd
Suite 202
Creve Coeur, MO 63141-5448
Phone (314) 834-2888

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy197
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Lukes Medical Group Surgery CurrentSince Dec 31, 2023 Accepting new patients
Advanced Anorectal Health LLC Colon & Rectal Surgery CurrentSince Apr 7, 2022 Accepting new patients
Physician Groups LC Past Accepting new patients

Locations

226 S Woods Mill Rd
Ste 49W
Chesterfield, MO 63017
Phone (314) 434-1211

12401 Olive Blvd
Ste 202
Saint Louis, MO 63141
Phone (314) 576-1495

Organizations & group practices 3

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 1

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1144223355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 OLIVE BLVD STE 202",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631415448",
            "telephone_number": "314-834-2888",
            "fax_number": "314-834-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 OLIVE BLVD STE 202",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631415448",
            "telephone_number": "314-834-2888",
            "fax_number": "314-834-5212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "226 S Woods Mill Rd",
            "address_2": "Suite 49W",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MO",
            "postal_code": "630173662",
            "country_code": "US",
            "telephone_number": "314-434-1211",
            "fax_number": "314-434-4419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HA",
        "first_name": "HANNAH-NGOC",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2001028190",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "MO",
            "license": "2001028190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

Verify at the official NPI Registry.