Individual provider Active NPI

Hanan Hannoodee, MD

  • Internal Medicine Physician
  • Humble, TX
National Provider Identifier
1154096832
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
V5272 Issued in TX
Practice address
18648 McKay Dr Ste 220
Humble, TX 77338-5724
Phone
(281) 548-1210
Fax
(281) 548-3786
NPI assigned
Aug 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X V5272 TX Primary

Addresses

Primary practice location

18648 McKay Dr Ste 220
Humble, TX 77338-5724

Mailing address

18648 McKay Dr Ste 220
Humble, TX 77338-5724
Phone (281) 548-1210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250319002066 TX Practitioner - Internal Medicine 6103223961 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Associates Internal Medicine CurrentSince Jan 11, 2025 Accepting new patients

Locations

18648 McKay Dr
Ste 220
Humble, TX 77338
Phone (281) 548-1210

Organizations & group practices 1

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": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1154096832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18648 MCKAY DR STE 220",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773385724",
            "telephone_number": "281-548-1210",
            "fax_number": "281-548-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18648 MCKAY DR STE 220",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773385724",
            "telephone_number": "281-548-1210",
            "fax_number": "281-548-3786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNOODEE",
        "first_name": "HANAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-13",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "V5272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.