Individual provider Active NPI

Tharwat A Hanna, MD

  • Internal Medicine Physician
  • Marshfield, MA
National Provider Identifier
1205815768
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
78912 Issued in MA
Practice address
435 Furnace St
Marshfield, MA 02050
Phone
(781) 834-4234
Fax
(781) 837-0244
NPI assigned
Jan 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 78912 MA Primary

Addresses

Primary practice location

435 Furnace St
Marshfield, MA 02050

Mailing address

435 Furnace St
Marshfield, MA 02050
Phone (781) 834-4234

Other identifiers 1

IdentifierTypeStateIssuer
9783601MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050510000985 MA Practitioner - Internal Medicine 3173563061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

435 Furnace St
Marshfield, MA 02050-2332

Hospital & facility affiliations

  • Croi Health Home health agency, Norwell, MA, CCN 227241
  • Bayada Home Health Care Inc Home health agency, Plymouth, MA, CCN 227537
  • South Shore Visiting Nurse Association Home health agency, Rockland, MA, CCN 227082
  • Beth Israel Deaconess Hospital Plymouth Hospital, Plymouth, MA, CCN 220060
  • South Shore Hospital Hospital, South Weymouth, MA, CCN 220100
  • Plymouth Rehabilitation & Health Care Center Nursing home, Plymouth, MA, CCN 225207

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions26
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
78912MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tharwat a Hanna MD PC Internal Medicine CurrentSince May 1, 2007 Accepting new patients
Jordan Physician Associates, Inc. Internal Medicine Past Accepting new patients
Plymouth Ma SNF LLC Past Accepting new patients
Jordan Physician Associates, Inc. Past Accepting new patients

Locations

435 Furnace St
Marshfield, MA 02050
Phone (781) 834-4234

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADBHAA/Endpoint/ADBHAA

Organizations & group practices 4

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 8

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": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1205815768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 FURNACE ST",
            "city": "MARSHFIELD",
            "state": "MA",
            "postal_code": "02050",
            "telephone_number": "781-834-4234",
            "fax_number": "781-837-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 FURNACE ST",
            "city": "MARSHFIELD",
            "state": "MA",
            "postal_code": "02050",
            "telephone_number": "781-834-4234",
            "fax_number": "781-837-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "THARWAT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "78912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9783601",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshfield, MA

Sources for this page

Verify at the official NPI Registry.