Individual provider Active NPI

Hannah Homafar, M.D.

  • Neurology Physician
  • Newport News, VA
National Provider Identifier
1184944738
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
0101274513 Issued in VA
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

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
840869OtherTXMEDICARE
8LL289OtherTXBCBS TX
401908501MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address HANNAH.HOMAFAR@hca7.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, CT2 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
I20240319002079 CO Practitioner - Neurology 8628370038 Reassigns benefits to 1 organization
I20250401001123 CT Practitioner - Neurology 8628370038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R6573TXMDNeurology Physician
0101274513VAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Health Physicians Colorado LLC CurrentSince Apr 1, 2024 Accepting new patients
Banner Health Physicians Colorado LLC Current Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Apr 1, 2024 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

  • Direct secure messaging: 18675-homafar-hannah@direct.leadingreach.com
  • Direct secure messaging: hannah.homafar@hca7.eclinicaldirectplus.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.