Individual provider Active NPI

Todd R Hansen, M.D.

  • Phlebology Physician
  • Ocoee, FL
National Provider Identifier
1215983978
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
License
ME159279 Issued in FL
Practice address
10000 W Colonial Dr Ste 495
Ocoee, FL 34761-3436
Phone
(407) 293-5944
NPI assigned
May 25, 2006
Last updated
Jun 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology Physician 202K00000X ME159279 FL Primary

Addresses

Primary practice location

10000 W Colonial Dr Ste 495
Ocoee, FL 34761-3436

Mailing address

10000 W Colonial Dr Ste 495
Ocoee, FL 34761-3436
Phone (407) 293-5944

Other practice location 1

1130 Cypress Glen Cir
Kissimmee, FL 34741-7559
Phone (407) 293-5944 ext. 116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL2 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
I20050106000023 NC Practitioner - Emergency Medicine 4486602547 Reassigns benefits to 2 organizations
I20221212003119 FL Practitioner - Emergency Medicine 4486602547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Mayo Medical School, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surgical Specialists of Central Florida IncGroup PAC ID 6204825706, 5 clinicians

Practice addresses (Care Compare)

10000 W Colonial Dr
Suite 495
Ocoee, FL 34761-3436
Phone (407) 293-5944

Merit-based Incentive Payment System (MIPS)

Final score
95.4 of 100Reported as group
Quality
90.8
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal476
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME159279FLMDPhlebology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest Emergency Providers CurrentSince Nov 2, 2019 Accepting new patients
Surgical Specialists of Central Florida Inc CurrentSince Dec 22, 2022 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Feb 1, 2018 Accepting new patients
Mid-Atlantic Emergency Medical Associates, PLLC Emergency Medicine Past Accepting new patients

Locations

10000 W Colonial Dr
Ste 495
Ocoee, FL 34761
Phone (407) 293-5944

336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

434 Hospital Dr
Newland, NC 28657
Phone (828) 737-7071

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60143

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, 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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1215983978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 W COLONIAL DR STE 495",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613436",
            "telephone_number": "407-293-5944",
            "fax_number": "407-293-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 W COLONIAL DR STE 495",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613436",
            "telephone_number": "407-293-5944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1130 Cypress Glen Cir",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347417559",
            "country_code": "US",
            "telephone_number": "407-293-5944 x116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "TODD",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "FL",
            "license": "ME159279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

Verify at the official NPI Registry.