Individual provider Active NPI

Andrew Hanna, M.D.

  • Emergency Medicine Physician
  • Orlando, FL
National Provider Identifier
1164953402
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME145607 Issued in FL
Practice address
6850 Lake Nona Blvd
Orlando, FL 32827-7408
Phone
(321) 697-1730
NPI assigned
Mar 27, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X ME145607 FL
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X ME145607 FL Primary

Addresses

Primary practice location

6850 Lake Nona Blvd
Orlando, FL 32827-7408

Mailing address

6850 Lake Nona Blvd
Orlando, FL 32827-7408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, KY2 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
I20200922000811 FL Practitioner - Emergency Medicine 7315365442 Reassigns benefits to 3 organizations
I20241118003980 KY Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 7315365442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians Inc Multi-Specialty Current Accepting new patients
University of Florida Jacksonville Physicians Inc Multi-Specialty CurrentSince Jun 1, 2022 Accepting new patients
Norton Children's Medical Group, LLC CurrentSince Nov 1, 2024 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Multi-Specialty Current Accepting new patients
University of Florida Jacksonville Physicians Inc Emergency Medicine CurrentSince Jun 1, 2022 Accepting new patients
Norton Children's Medical Group, LLC CurrentSince Nov 1, 2024 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jun 1, 2022 Accepting new patients
Norton Children's Medical Group, LLC Multi-Specialty Current Accepting new patients

Locations

1250 S 18th St
Ste 202
Fernandina Beach, FL 32034
Phone (904) 202-2000

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

1100 E Market St
Louisville, KY 40206
Phone (502) 596-1000

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

4910 Chamberlain Ln
Louisville, KY 40241
Phone (502) 446-5000

Interoperability endpoints

  • Direct secure messaging: ahanna460317@direct.shands.ufl.edu

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1164953402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 LAKE NONA BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 LAKE NONA BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277408",
            "telephone_number": "321-697-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-27",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "FL",
            "license": "ME145607",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME145607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.