Individual provider Active NPI

Karen Jean Hanna, M.D.

  • Surgery Physician
  • Vista, CA
National Provider Identifier
1184687337
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G88851 Issued in CA
Practice address
2385 S. Melrose Dr
Vista, CA 92081
Phone
(760) 300-3647
Fax
(760) 482-1316
NPI assigned
Apr 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G88851 CA Primary
Surgery Physician 208600000X MD00044306 WA
Surgery Physician 208600000X 2007010595 MO
General Practice Physician 208D00000X G88851 CA

Addresses

Primary practice location

2385 S. Melrose Dr
Vista, CA 92081

Mailing address

2385 S. Melrose Drive
Vista, CA 92081
Phone (760) 300-3647

Other identifiers 1

IdentifierTypeStateIssuer
204463103MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20130206000471 CA Practitioner - General Surgery 6608977848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Rush Medical College of Rush University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arch Health Partners IncGroup PAC ID 9931239027, 141 clinicians

Practice addresses (Care Compare)

2385 S Melrose Dr
Vista, CA 92081-8788
Phone (760) 300-3647

Hospital & facility affiliations

  • Tri-City Medical Center Hospital, Oceanside, CA, CCN 050128
  • Palomar Medical Center Poway Hospital, Poway, CA, CCN 050636

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2007010595MOMDSurgery Physician
MD00044306WAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arch Health Partners CurrentSince Feb 1, 2020 Accepting new patients
Scripps Health Current Accepting new patients
Arch Health Partners, Inc Neurological Surgery CurrentSince Feb 1, 2020 Accepting new patients
Palomar Health Past Accepting new patients
Tri-City Hospital Past Accepting new patients

Locations

15611 Pomerado Rd
Ste 400
Poway, CA 92064
Phone (858) 613-8900

15611 Pomerado Rd
Ste 107
Poway, CA 92064

15611 Pomerado Rd
Ste 525
Poway, CA 92064
Phone (619) 287-9334

15611 Pomerado Rd
Ste 300
Poway, CA 92064

2385 S Melrose Dr
Vista, CA 92081
Phone (760) 300-3647

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: khanna42227@scrippshlth.medalliesdirect.net
  • Direct secure messaging: karen.hanna.p1@direct.arch.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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 2

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1184687337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2385 S. MELROSE DRIVE",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "92081",
            "telephone_number": "760-300-3647",
            "fax_number": "760-482-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2385 S. MELROSE DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "92081",
            "telephone_number": "760-300-3647",
            "fax_number": "760-482-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "KAREN",
        "middle_name": "JEAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G88851",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00044306",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2007010595",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G88851",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204463103",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

Verify at the official NPI Registry.