NPIMap

Individual provider Active NPI

Hanna Dgheim, M.D.

  • Internal Medicine Physician
  • Nanuet, NY
National Provider Identifier
1184710030
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
189605 Issued in NY
Practice address
55 Old Nyack Turnpike
Suite 505
Nanuet, NY 10954-2453
Phone
(845) 624-0626
Fax
(845) 623-0855
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 189605 NY
Internal Medicine Physician 207R00000X 189605 NY Primary

Addresses

Primary practice location

55 Old Nyack Turnpike
Suite 505
Nanuet, NY 10954-2453

Mailing address

55 Old Nyack Turnpike
Suite 505
Nanuet, NY 10954-2453
Phone (845) 624-0626

Other identifiers 1

IdentifierTypeStateIssuer
01641529MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110422000354 NY Practitioner - Internal MedicinePractitioner - Nephrology 2769667484 Practice locations: Nanuet, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1981
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

55 Old Nyack Tpke
Suite 505
Nanuet, NY 10954-2453
Phone (845) 624-0626

55 Old Nyack Turnpike
Suite 505
Nanuet, NY 10954-2453

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.24 of 100Reported as individual
Quality
77.35
Promoting interoperability
98
Improvement activities
40
Cost
71.78

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: hanna.dgheim.1@12466.direct.athenahealth.com

Hospital & facility affiliations 10

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1184710030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 OLD NYACK TURNPIKE",
            "address_2": "SUITE 505",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542453",
            "telephone_number": "845-624-0626",
            "fax_number": "845-623-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 OLD NYACK TURNPIKE",
            "address_2": "SUITE 505",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542453",
            "telephone_number": "845-624-0626",
            "fax_number": "845-623-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DGHEIM",
        "first_name": "HANNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "189605",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "189605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01641529",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

Verify at the official NPI Registry.