Individual provider Active NPI

Antonious Hanna Hanna, M.D.

  • Internal Medicine Physician
  • Jeannette, PA
National Provider Identifier
1215967781
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
035785E Issued in PA
Practice address
601 Michigan Ave
Jeannette, PA 15644-2433
Phone
(724) 523-2323
Fax
(724) 523-2754
NPI assigned
Jul 3, 2006
Last updated
Jan 17, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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 035785E PA Primary

Addresses

Primary practice location

601 Michigan Ave
Jeannette, PA 15644-2433

Mailing address

520 Jefferson Ave
Suite 400
Jeannette, PA 15644-2538
Phone (724) 527-8060

Other identifiers 1

IdentifierTypeStateIssuer
0011837290009MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20060421000187 PA Practitioner - Internal Medicine 7012927916 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
Group practices
Falconer IncGroup PAC ID 6901102623, 5 clinicians

Practice addresses (Care Compare)

1241 Freedom Rd
Suite 1a
Cranberry Township, PA 16066-4965
Phone (724) 235-6000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
035785EPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Falconer Inc CurrentSince Sep 1, 2018 Accepting new patients
Monsour Medical Center Past Accepting new patients

Locations

1241 Freedom Rd
Cranberry Twp, PA 16066
Phone (412) 301-1003

1241 Freedom Rd
Ste 1A
Cranberry Twp, PA 16066
Phone (724) 235-6000

Interoperability endpoints

  • Direct secure messaging: ahanna@direct.excelahealth.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1215967781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 JEFFERSON AVE",
            "address_2": "SUITE 400",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156442538",
            "telephone_number": "724-527-8060",
            "fax_number": "724-522-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 MICHIGAN AVE",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156442433",
            "telephone_number": "724-523-2323",
            "fax_number": "724-523-2754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "ANTONIOUS",
        "middle_name": "HANNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "035785E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011837290009",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeannette, PA

Sources for this page

Verify at the official NPI Registry.