Active NPI
Hannah Homafar, M.D.
- Neurology Physician
- Newport News, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 0101274513
- Practice address
- 12200 Warwick Blvd Ste 110
Newport News, VA 23601-2344 - Phone
- (757) 534-5100
- Fax
- (757) 534-5395
- NPI assigned
- Jun 7, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | R6573 | TX | |
| Neurology Physician | 2084N0400X | 0101274513 | VA | Primary |
Addresses
Primary practice location
12200 Warwick Blvd Ste 110
Newport News, VA 23601-2344
Mailing address
4410 Medical Dr Ste 410
San Antonio, TX 78229-3749
Phone (210) 575-6168
Other practice location 1
4410 Medical Dr Ste 320
San Antonio, TX 78229-3749
Phone (210) 874-3270
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 840869 | Other | TX | MEDICARE |
| 8LL289 | Other | TX | BCBS TX |
| 401908501 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | HANNAH.HOMAFAR@hca7.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R6573 | TX | MD | Neurology Physician |
| 0101274513 | VA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Health Physicians Colorado LLC | Current | Accepting new patients | |
| Banner Health Physicians Colorado LLC | Current | Accepting new patients | |
| Banner Health Physicians Colorado LLC | Current | Accepting new patients |
Locations
1801 16th St
Greeley, CO 80631
Phone (970) 352-4121
1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121
1813 Cheyenne Ave
Loveland, CO 80538
Phone (970) 203-6801
Interoperability endpoints
- 18675-homafar-hannah@direct.leadingreach.com
- hannah.homafar@hca7.eclinicaldirectplus.com
- hhomafar922474@oc.providencedirect.org
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Greeley, CO
- NPI 1073899134
-
- Multi-Specialty Clinic/Center
- Torrington, WY
- NPI 1215375688
-
- Multi-Specialty Clinic/Center
- Greeley, CO
- NPI 1790024420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648684800000",
"number": "1184944738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4410 MEDICAL DR STE 410",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293749",
"telephone_number": "210-575-6168",
"fax_number": "210-510-7490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12200 WARWICK BLVD STE 110",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236012344",
"telephone_number": "757-534-5100",
"fax_number": "757-534-5395"
}
],
"practiceLocations": [
{
"address_1": "4410 Medical Dr Ste 320",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782293749",
"country_code": "US",
"telephone_number": "210-874-3270",
"fax_number": "210-874-3271",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOMAFAR",
"first_name": "HANNAH",
"name_prefix": "Miss",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-07",
"last_updated": "2022-03-31",
"certification_date": "2022-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "R6573",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "VA",
"license": "0101274513",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "840869",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TX",
"identifier": "8LL289",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "401908501",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "HANNAH.HOMAFAR@hca7.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "4410 Medical Dr Ste 320",
"city": "San Antonio",
"state": "TX",
"country_code": "US",
"postal_code": "782293749",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.