Majda A Hannish, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301065894 Issued in MI

Practice address

2100 W Big Beaver Rd
Ste 110
Troy, MI 48084

Phone

(248) 816-1300

Fax

(248) 816-2723

NPI assigned

Mar 10, 2006

Last updated

Oct 22, 2020By the provider in NPPES

Sex

Female

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

Other names 1

• Majda A Arafat-Hannish Other name

Electronic endpoints 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

• Direct secure messaging: mhannish1237013@epic00.shdirect.org
• Direct secure messaging: mhannish52120@direct.beaumont.edu

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.

• Beaumont Medical Group- Specialty Services

  • Surgery Physician
  • Royal Oak, MI
  • NPI 1578072906
  Medicare reassignment NPD
• Center for Pediatric & Adolescent Medicine

  • Pediatrics Physician
  • Troy, MI
  • NPI 1356440572
  NPD (past)

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1174591549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 TOWN CENTER DR",
            "address_2": "STE 203",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480841744",
            "telephone_number": "248-585-8265",
            "fax_number": "248-585-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W BIG BEAVER RD",
            "address_2": "STE 110",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48084",
            "telephone_number": "248-816-1300",
            "fax_number": "248-816-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNISH",
        "first_name": "MAJDA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301065894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "348604710",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mhannish52120@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "2100 W Big Beaver Rd",
            "address_2": "Ste 110",
            "city": "Troy",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MAJDA",
            "last_name": "ARAFAT-HANNISH",
            "middle_name": "A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Meghan Mariah Hanna, MS, OTR/L
• Rami Hanna, MD
• Hannadmd.PLLC
• Hannah's Home Care Inc. (Hannah's Home Care of Ohio, Inc)
• Rosemary Hannan
• Amaryllis Hannosh, RBT
• Jan Hansmann, M.D.
• Eric C Hanson, MD
• Ziaul Haq
• Mazen Samir Harake, M.D.

• Pediatrics Physician in Troy, MI
• Providers in Troy, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.